Provider Demographics
NPI:1568178176
Name:HAIM ABA LLC
Entity Type:Organization
Organization Name:HAIM ABA LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:AUTHERIZED OFFICIAL
Authorized Official - Prefix:
Authorized Official - First Name:ZISHA
Authorized Official - Middle Name:
Authorized Official - Last Name:RUSSEL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:646-799-0179
Mailing Address - Street 1:3611 14TH AVE STE 426
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11218-3787
Mailing Address - Country:US
Mailing Address - Phone:718-750-4246
Mailing Address - Fax:
Practice Address - Street 1:2450 ATLANTA HWY STE 1100
Practice Address - Street 2:
Practice Address - City:CUMMING
Practice Address - State:GA
Practice Address - Zip Code:30040-1253
Practice Address - Country:US
Practice Address - Phone:646-799-0179
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-01-26
Last Update Date:2023-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Multi-Specialty