Provider Demographics
NPI:1376602557
Name:ABC'ND ENTERPRISES LLC
Entity Type:Organization
Organization Name:ABC'ND ENTERPRISES LLC
Other - Org Name:ABC'ND AUTISM CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:NANCY
Authorized Official - Middle Name:D
Authorized Official - Last Name:MICHAEL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:816-931-8300
Mailing Address - Street 1:3930 WASHINGTON ST
Mailing Address - Street 2:
Mailing Address - City:KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64111-2925
Mailing Address - Country:US
Mailing Address - Phone:816-931-8300
Mailing Address - Fax:877-349-8814
Practice Address - Street 1:3930 WASHINGTON ST
Practice Address - Street 2:
Practice Address - City:KANSAS CITY
Practice Address - State:MO
Practice Address - Zip Code:64111-2925
Practice Address - Country:US
Practice Address - Phone:816-931-8300
Practice Address - Fax:877-349-8814
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-06
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2004025480225X00000X
MO2006020304225X00000X
MO2006022415235Z00000X
MO2006024413235Z00000X
MO999-221251C00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Not Answered225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Multi-Specialty
Not Answered235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Multi-Specialty
Not Answered251C00000XAgenciesDay Training, Developmentally Disabled ServicesGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO=========OtherTAX IDENTIFICATION NUMBER