Provider Demographics
NPI:1316554868
Name:AB BEHAVIORAL CONSULTING LLC
Entity Type:Organization
Organization Name:AB BEHAVIORAL CONSULTING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMIN
Authorized Official - Prefix:
Authorized Official - First Name:AGNIESZKA
Authorized Official - Middle Name:
Authorized Official - Last Name:MIKRUT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:708-323-5496
Mailing Address - Street 1:5310 SUFFOLK AVE
Mailing Address - Street 2:
Mailing Address - City:CASTLE ROCK
Mailing Address - State:CO
Mailing Address - Zip Code:80104-5487
Mailing Address - Country:US
Mailing Address - Phone:708-323-5496
Mailing Address - Fax:
Practice Address - Street 1:5310 SUFFOLK AVE
Practice Address - Street 2:
Practice Address - City:CASTLE ROCK
Practice Address - State:CO
Practice Address - Zip Code:80104-5487
Practice Address - Country:US
Practice Address - Phone:708-323-5496
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-09-29
Last Update Date:2020-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty