Provider Demographics
NPI:1578058566
Name:ABC WAY LLC
Entity Type:Organization
Organization Name:ABC WAY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ASHLEY
Authorized Official - Middle Name:LEITNER
Authorized Official - Last Name:BELT
Authorized Official - Suffix:
Authorized Official - Credentials:BCBA
Authorized Official - Phone:843-793-8147
Mailing Address - Street 1:8301 WILD INDIGO BLF
Mailing Address - Street 2:
Mailing Address - City:NORTH CHARLESTON
Mailing Address - State:SC
Mailing Address - Zip Code:29418-2634
Mailing Address - Country:US
Mailing Address - Phone:843-793-8147
Mailing Address - Fax:843-887-8265
Practice Address - Street 1:8301 WILD INDIGO BLF
Practice Address - Street 2:
Practice Address - City:NORTH CHARLESTON
Practice Address - State:SC
Practice Address - Zip Code:29418-2634
Practice Address - Country:US
Practice Address - Phone:843-793-8147
Practice Address - Fax:843-887-8265
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-06-22
Last Update Date:2023-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty