Provider Demographics
NPI:1225550486
Name:ABA SERVICE, LLC
Entity Type:Organization
Organization Name:ABA SERVICE, LLC
Other - Org Name:MEGAN CHRISTINE DURBIN
Other - Org Type:Doing Business As
Authorized Official - Title/Position:BEHAVIOR ANALYST
Authorized Official - Prefix:MS
Authorized Official - First Name:MEGAN
Authorized Official - Middle Name:CHRISTINE
Authorized Official - Last Name:DURBIN
Authorized Official - Suffix:
Authorized Official - Credentials:BCBA LBA
Authorized Official - Phone:502-558-2797
Mailing Address - Street 1:9505 INDIAN PIPE LN
Mailing Address - Street 2:
Mailing Address - City:PROSPECT
Mailing Address - State:KY
Mailing Address - Zip Code:40059-7005
Mailing Address - Country:US
Mailing Address - Phone:502-558-2797
Mailing Address - Fax:502-371-3969
Practice Address - Street 1:9505 INDIAN PIPE LN
Practice Address - Street 2:
Practice Address - City:PROSPECT
Practice Address - State:KY
Practice Address - Zip Code:40059-7005
Practice Address - Country:US
Practice Address - Phone:502-558-2797
Practice Address - Fax:502-371-3969
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-07-10
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY168822103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty