Provider Demographics
NPI:1508428483
Name:ABA AND PLAY LLC
Entity Type:Organization
Organization Name:ABA AND PLAY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO-OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:
Authorized Official - Last Name:NUSE
Authorized Official - Suffix:
Authorized Official - Credentials:BCBA
Authorized Official - Phone:586-872-7282
Mailing Address - Street 1:21701 CEDAR ST
Mailing Address - Street 2:
Mailing Address - City:SAINT CLAIR SHORES
Mailing Address - State:MI
Mailing Address - Zip Code:48081-2823
Mailing Address - Country:US
Mailing Address - Phone:586-872-7282
Mailing Address - Fax:
Practice Address - Street 1:21701 CEDAR ST
Practice Address - Street 2:
Practice Address - City:SAINT CLAIR SHORES
Practice Address - State:MI
Practice Address - Zip Code:48081-2823
Practice Address - Country:US
Practice Address - Phone:586-872-7282
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-07-01
Last Update Date:2019-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Multi-Specialty
No225800000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRecreation TherapistGroup - Multi-Specialty