Provider Demographics
NPI:1417695958
Name:VERUS ABA SOLUTIONS. LLC
Entity Type:Organization
Organization Name:VERUS ABA SOLUTIONS. LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:KRISTOPHER
Authorized Official - Middle Name:AGUSTIN
Authorized Official - Last Name:GUARCH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:786-300-6032
Mailing Address - Street 1:5032 SHIRLEY AVE UNIT 22
Mailing Address - Street 2:
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32210-3253
Mailing Address - Country:US
Mailing Address - Phone:904-990-8405
Mailing Address - Fax:
Practice Address - Street 1:5032 SHIRLEY AVE UNIT 22
Practice Address - Street 2:
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32210-3253
Practice Address - Country:US
Practice Address - Phone:904-990-8405
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-05-24
Last Update Date:2022-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty