Provider Demographics
NPI:1033664362
Name:ABEL BEHAVIOR COMPANY, LLC
Entity Type:Organization
Organization Name:ABEL BEHAVIOR COMPANY, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BCBA
Authorized Official - Prefix:MRS
Authorized Official - First Name:TRACY
Authorized Official - Middle Name:
Authorized Official - Last Name:ABEL
Authorized Official - Suffix:
Authorized Official - Credentials:MA, BCBA
Authorized Official - Phone:574-261-4025
Mailing Address - Street 1:12042 COVERED WAGON CT
Mailing Address - Street 2:
Mailing Address - City:GRANGER
Mailing Address - State:IN
Mailing Address - Zip Code:46530-7100
Mailing Address - Country:US
Mailing Address - Phone:574-261-4025
Mailing Address - Fax:
Practice Address - Street 1:51513 BITTERSWEET RD
Practice Address - Street 2:SUITE B
Practice Address - City:GRANGER
Practice Address - State:IN
Practice Address - Zip Code:46530-4989
Practice Address - Country:US
Practice Address - Phone:574-261-4025
Practice Address - Fax:574-383-5545
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-08-16
Last Update Date:2017-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN1-13-13445103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty