Provider Demographics
NPI:1316592264
Name:FAMILY STRONG ABA LLC
Entity Type:Organization
Organization Name:FAMILY STRONG ABA LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO-FOUNDER
Authorized Official - Prefix:
Authorized Official - First Name:ERIC
Authorized Official - Middle Name:
Authorized Official - Last Name:KOESTNER
Authorized Official - Suffix:
Authorized Official - Credentials:BCBA
Authorized Official - Phone:203-920-0520
Mailing Address - Street 1:220 MAIN ST S
Mailing Address - Street 2:
Mailing Address - City:SOUTHBURY
Mailing Address - State:CT
Mailing Address - Zip Code:06488-2275
Mailing Address - Country:US
Mailing Address - Phone:203-920-0520
Mailing Address - Fax:203-266-1005
Practice Address - Street 1:220 MAIN ST S
Practice Address - Street 2:
Practice Address - City:SOUTHBURY
Practice Address - State:CT
Practice Address - Zip Code:06488-2275
Practice Address - Country:US
Practice Address - Phone:203-920-0520
Practice Address - Fax:203-266-1005
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-08-07
Last Update Date:2019-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty