Provider Demographics
NPI:1083822357
Name:BOSTON ABA INC.
Entity Type:Organization
Organization Name:BOSTON ABA INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:NEILL
Authorized Official - Middle Name:JOHN
Authorized Official - Last Name:DORN
Authorized Official - Suffix:
Authorized Official - Credentials:MS, BCBA
Authorized Official - Phone:617-272-0212
Mailing Address - Street 1:464 COMMON ST
Mailing Address - Street 2:#106
Mailing Address - City:BELMONT
Mailing Address - State:MA
Mailing Address - Zip Code:02478-2704
Mailing Address - Country:US
Mailing Address - Phone:617-272-0212
Mailing Address - Fax:
Practice Address - Street 1:464 COMMON ST
Practice Address - Street 2:#106
Practice Address - City:BELMONT
Practice Address - State:MA
Practice Address - Zip Code:02478-2704
Practice Address - Country:US
Practice Address - Phone:617-272-0212
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-19
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health