Provider Demographics
NPI:1083497267
Name:AMERICA ABA LLC
Entity Type:Organization
Organization Name:AMERICA ABA LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/BCBA
Authorized Official - Prefix:MRS
Authorized Official - First Name:KATHRYN
Authorized Official - Middle Name:DANIELLE
Authorized Official - Last Name:AMERICA
Authorized Official - Suffix:
Authorized Official - Credentials:BCBA
Authorized Official - Phone:470-808-9826
Mailing Address - Street 1:401 CHICKASAW RD
Mailing Address - Street 2:
Mailing Address - City:ENTERPRISE
Mailing Address - State:AL
Mailing Address - Zip Code:36330-3640
Mailing Address - Country:US
Mailing Address - Phone:470-808-9826
Mailing Address - Fax:
Practice Address - Street 1:401 CHICKASAW RD
Practice Address - Street 2:
Practice Address - City:ENTERPRISE
Practice Address - State:AL
Practice Address - Zip Code:36330-3640
Practice Address - Country:US
Practice Address - Phone:470-808-9826
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-08-14
Last Update Date:2023-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health