Provider Demographics
NPI:1235548942
Name:ABA SERVICES OF THE THUMB
Entity Type:Organization
Organization Name:ABA SERVICES OF THE THUMB
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:ANN
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:MURPHY
Authorized Official - Suffix:
Authorized Official - Credentials:BCBA
Authorized Official - Phone:989-963-0503
Mailing Address - Street 1:7031 SCHEURER ST
Mailing Address - Street 2:
Mailing Address - City:PIGEON
Mailing Address - State:MI
Mailing Address - Zip Code:48755-9668
Mailing Address - Country:US
Mailing Address - Phone:989-963-0503
Mailing Address - Fax:
Practice Address - Street 1:7031 SCHEURER ST
Practice Address - Street 2:
Practice Address - City:PIGEON
Practice Address - State:MI
Practice Address - Zip Code:48755-9668
Practice Address - Country:US
Practice Address - Phone:989-963-0503
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-08-06
Last Update Date:2014-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI11210189251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health