Provider Demographics
NPI:1437767530
Name:QUALITY ABA SERVICES LLC
Entity Type:Organization
Organization Name:QUALITY ABA SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MARIA
Authorized Official - Middle Name:E
Authorized Official - Last Name:CAPUANO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:774-287-3705
Mailing Address - Street 1:54 PUMPKIN LN
Mailing Address - Street 2:
Mailing Address - City:CHARLTON
Mailing Address - State:MA
Mailing Address - Zip Code:01507-5216
Mailing Address - Country:US
Mailing Address - Phone:774-287-3705
Mailing Address - Fax:
Practice Address - Street 1:54 PUMPKIN LN
Practice Address - Street 2:
Practice Address - City:CHARLTON
Practice Address - State:MA
Practice Address - Zip Code:01507-5216
Practice Address - Country:US
Practice Address - Phone:774-287-3705
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-07-15
Last Update Date:2020-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty