MEDICARE: SCORE ABA CO LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103K00000X	Behavior Analyst

General Provider Information

NPI Number	:	1326907593
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SCORE ABA CO LLC

Provider Business Mailing Address
First Line	:	200 NY 17M
Second Line	:	SUITE 229
City	:	MONROE
State	:	NY
Zip	:	10926
Country	:	US
Telephone Number	:	973-412-3663
Fax Number	:	973-412-3568

Provider Business Practice Location Address
First Line	:	1500 N GRANT ST STE R
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80203-1859
Country	:	US
Telephone Number	:	973-412-3663
Fax Number	:	973-412-3568

Authorized Official
Title or Position	:	MANAGER
Name	:	SOLOMON BROWN
Credential	:
Telephone Number	:	973-412-3663

Provider Enumeration Date	:	01/21/2026
Last Update Date	:	01/21/2026

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