Provider Demographics
NPI:1184221848
Name:ABA THERAPY INSTITUTE, LLC
Entity Type:Organization
Organization Name:ABA THERAPY INSTITUTE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:MABEL
Authorized Official - Middle Name:
Authorized Official - Last Name:MARICHAL
Authorized Official - Suffix:
Authorized Official - Credentials:PA
Authorized Official - Phone:561-412-0025
Mailing Address - Street 1:777 S FLAGLER DR STE 800
Mailing Address - Street 2:
Mailing Address - City:WEST PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33401-6161
Mailing Address - Country:US
Mailing Address - Phone:561-412-0025
Mailing Address - Fax:561-412-0160
Practice Address - Street 1:777 S FLAGLER DR STE 800
Practice Address - Street 2:
Practice Address - City:WEST PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33401-6161
Practice Address - Country:US
Practice Address - Phone:561-412-0025
Practice Address - Fax:561-412-0160
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-10-06
Last Update Date:2020-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty