Provider Demographics
NPI:1164287348
Name:SMART ABA LLC
Entity Type:Organization
Organization Name:SMART ABA LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:CARMEN
Authorized Official - Middle Name:NEREIDA
Authorized Official - Last Name:GINORIO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:413-417-3952
Mailing Address - Street 1:176 HAMPDEN RD
Mailing Address - Street 2:
Mailing Address - City:EAST LONGMEADOW
Mailing Address - State:MA
Mailing Address - Zip Code:01028-3014
Mailing Address - Country:US
Mailing Address - Phone:413-417-3952
Mailing Address - Fax:
Practice Address - Street 1:333 FRONT ST STE 4
Practice Address - Street 2:
Practice Address - City:CHICOPEE
Practice Address - State:MA
Practice Address - Zip Code:01013-2798
Practice Address - Country:US
Practice Address - Phone:413-417-3952
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-02-16
Last Update Date:2024-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251S00000XAgenciesCommunity/Behavioral Health
No103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Multi-Specialty
No106E00000XBehavioral Health & Social Service ProvidersAssistant Behavior AnalystGroup - Multi-Specialty
No106S00000XBehavioral Health & Social Service ProvidersBehavior TechnicianGroup - Multi-Specialty