Provider Demographics
NPI:1467058966
Name:STRIKER ABA, LLC
Entity Type:Organization
Organization Name:STRIKER ABA, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BEHAVIOR ANALYST
Authorized Official - Prefix:MISS
Authorized Official - First Name:ELYSE
Authorized Official - Middle Name:
Authorized Official - Last Name:STRIKER
Authorized Official - Suffix:
Authorized Official - Credentials:BCBA, LBA
Authorized Official - Phone:401-258-4162
Mailing Address - Street 1:2485 FOX TROT TER
Mailing Address - Street 2:
Mailing Address - City:RESTON
Mailing Address - State:VA
Mailing Address - Zip Code:20191-1699
Mailing Address - Country:US
Mailing Address - Phone:401-258-4162
Mailing Address - Fax:
Practice Address - Street 1:2485 FOX TROT TER
Practice Address - Street 2:
Practice Address - City:RESTON
Practice Address - State:VA
Practice Address - Zip Code:20191-1699
Practice Address - Country:US
Practice Address - Phone:401-258-4162
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-12-09
Last Update Date:2020-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Multi-Specialty