Provider Demographics
NPI:1194225391
Name:PROPEL ABA LLC
Entity Type:Organization
Organization Name:PROPEL ABA LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BCBA
Authorized Official - Prefix:
Authorized Official - First Name:KARA
Authorized Official - Middle Name:
Authorized Official - Last Name:FERDINAND
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:781-856-4509
Mailing Address - Street 1:48 CORNET STETSON RD
Mailing Address - Street 2:
Mailing Address - City:HANOVER
Mailing Address - State:MA
Mailing Address - Zip Code:02339-2662
Mailing Address - Country:US
Mailing Address - Phone:781-856-4509
Mailing Address - Fax:
Practice Address - Street 1:48 CORNET STETSON RD
Practice Address - Street 2:
Practice Address - City:HANOVER
Practice Address - State:MA
Practice Address - Zip Code:02339-2662
Practice Address - Country:US
Practice Address - Phone:781-856-4509
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-02-14
Last Update Date:2018-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty