MEDICARE: AIREA ABA 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	:	1891646519
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AIREA ABA LLC

Provider Business Mailing Address
First Line	:	1314 HANSEN PL
Second Line	:
City	:	PINOLE
State	:	CA
Zip	:	94564-1967
Country	:	US
Telephone Number	:	415-652-7859
Fax Number	:

Provider Business Practice Location Address
First Line	:	1314 HANSEN PL
Second Line	:
City	:	PINOLE
State	:	CA
Zip	:	94564-1967
Country	:	US
Telephone Number	:	415-652-7859
Fax Number	:

Authorized Official
Title or Position	:	CLINICAL DIRECTOR
Name	:	SHUI KWAN CHANDRASEKARAN
Credential	:	BCBA
Telephone Number	:	415-652-7859

Provider Enumeration Date	:	02/07/2026
Last Update Date	:	02/07/2026

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