Provider Demographics
NPI:1336033216
Name:ABS SUPPORTIVE SERVICES LLC
Entity type:Organization
Organization Name:ABS SUPPORTIVE SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JENNIFER
Authorized Official - Middle Name:J
Authorized Official - Last Name:LANHAM
Authorized Official - Suffix:
Authorized Official - Credentials:BCBA-D, EDD
Authorized Official - Phone:317-658-4370
Mailing Address - Street 1:2701 ALBRIGHT RD
Mailing Address - Street 2:
Mailing Address - City:KOKOMO
Mailing Address - State:IN
Mailing Address - Zip Code:46902-3996
Mailing Address - Country:US
Mailing Address - Phone:765-635-9582
Mailing Address - Fax:
Practice Address - Street 1:2701 ALBRIGHT RD
Practice Address - Street 2:
Practice Address - City:KOKOMO
Practice Address - State:IN
Practice Address - Zip Code:46902-3996
Practice Address - Country:US
Practice Address - Phone:765-635-9582
Practice Address - Fax:855-395-0876
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ALPHABET SOUP ABA, LLC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2025-06-05
Last Update Date:2025-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Multi-Specialty
No106S00000XBehavioral Health & Social Service ProvidersBehavior TechnicianGroup - Multi-Specialty