Provider Demographics
NPI:1477327401
Name:KIDFIRST ABA LLC
Entity Type:Organization
Organization Name:KIDFIRST ABA LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER, CLINICAL DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:KRYSTLE
Authorized Official - Middle Name:L
Authorized Official - Last Name:CURLEY
Authorized Official - Suffix:
Authorized Official - Credentials:BCBA, LBA
Authorized Official - Phone:571-251-5868
Mailing Address - Street 1:40963 BRUZZO WOODS CT
Mailing Address - Street 2:
Mailing Address - City:ALDIE
Mailing Address - State:VA
Mailing Address - Zip Code:20105-2298
Mailing Address - Country:US
Mailing Address - Phone:571-251-5868
Mailing Address - Fax:
Practice Address - Street 1:40963 BRUZZO WOODS CT
Practice Address - Street 2:
Practice Address - City:ALDIE
Practice Address - State:VA
Practice Address - Zip Code:20105-2298
Practice Address - Country:US
Practice Address - Phone:157-125-1586
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-11-09
Last Update Date:2023-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Multi-Specialty
No106S00000XBehavioral Health & Social Service ProvidersBehavior TechnicianGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL1-20-41253OtherBCBA CERTIFICATION NUMBER
1831724335OtherPERSONAL NPI NUMBER FOR KRYSTLE CURLEY
VA0133001678OtherLICENSED BEHAVIOR ANALYST #