Provider Demographics
NPI:1225746035
Name:EFFECTIVE ABA SERVICES LLC
Entity Type:Organization
Organization Name:EFFECTIVE ABA SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:MR
Authorized Official - First Name:CHRISTOPHER
Authorized Official - Middle Name:
Authorized Official - Last Name:CLEMENTS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:215-888-0692
Mailing Address - Street 1:85 WASHINGTON ST APT 6108
Mailing Address - Street 2:
Mailing Address - City:PLAINVILLE
Mailing Address - State:MA
Mailing Address - Zip Code:02762-5214
Mailing Address - Country:US
Mailing Address - Phone:215-888-0692
Mailing Address - Fax:617-812-2455
Practice Address - Street 1:85 WASHINGTON ST APT 6108
Practice Address - Street 2:
Practice Address - City:PLAINVILLE
Practice Address - State:MA
Practice Address - Zip Code:02762-5214
Practice Address - Country:US
Practice Address - Phone:215-888-0692
Practice Address - Fax:617-812-2455
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-11-10
Last Update Date:2022-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD1600XAmbulatory Health Care FacilitiesClinic/CenterDevelopmental Disabilities