Provider Demographics
NPI:1457096505
Name:ADVENTURE ABA LLC
Entity Type:Organization
Organization Name:ADVENTURE ABA LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:LE'ANN
Authorized Official - Middle Name:
Authorized Official - Last Name:MILINDER
Authorized Official - Suffix:
Authorized Official - Credentials:BCBA-D
Authorized Official - Phone:603-513-1526
Mailing Address - Street 1:22 BAYVIEW DR
Mailing Address - Street 2:
Mailing Address - City:STOCKTON SPRINGS
Mailing Address - State:ME
Mailing Address - Zip Code:04981-4637
Mailing Address - Country:US
Mailing Address - Phone:603-513-1526
Mailing Address - Fax:
Practice Address - Street 1:22 BAYVIEW DR
Practice Address - Street 2:
Practice Address - City:STOCKTON SPRINGS
Practice Address - State:ME
Practice Address - Zip Code:04981-4637
Practice Address - Country:US
Practice Address - Phone:603-513-1526
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-05-03
Last Update Date:2022-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty