Provider Demographics
NPI:1508312422
Name:ABA BEHAVIOR SOLUTIONS
Entity Type:Organization
Organization Name:ABA BEHAVIOR SOLUTIONS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:BETHANNE
Authorized Official - Middle Name:
Authorized Official - Last Name:MILES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:508-983-4090
Mailing Address - Street 1:258 MAIN STREET
Mailing Address - Street 2:SUITE 2
Mailing Address - City:MEDFIELD
Mailing Address - State:MA
Mailing Address - Zip Code:02052-0000
Mailing Address - Country:US
Mailing Address - Phone:508-983-4090
Mailing Address - Fax:508-359-6369
Practice Address - Street 1:258 MAIN ST
Practice Address - Street 2:SUITE 2
Practice Address - City:MEDFIELD
Practice Address - State:MA
Practice Address - Zip Code:02052-2041
Practice Address - Country:US
Practice Address - Phone:508-983-4090
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-08-31
Last Update Date:2016-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty