MEDICARE: HEARTS ABA SERVICES 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

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	2325508	OTHER	NY	ARTICLES OF ORGANIZATION

General Provider Information

NPI Number	:	1952971418
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HEARTS ABA SERVICES LLC

Provider Business Mailing Address
First Line	:	4403 15TH AVE STE 236
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11219-1604
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	6433 E WASHINGTON ST STE 111
Second Line	:
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46219-6627
Country	:	US
Telephone Number	:	718-693-9032
Fax Number	:

Authorized Official
Title or Position	:	CLINICAL DIRECTOR
Name	:	ZEV HOROWITZ
Credential	:
Telephone Number	:	718-612-1080

Provider Enumeration Date	:	06/28/2021
Last Update Date	:	08/04/2022

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Directions to “HEARTS ABA SERVICES LLC ” Practice Location

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