Provider Demographics
NPI:1609235910
Name:ABA INTERVENTIONS, LLC
Entity Type:Organization
Organization Name:ABA INTERVENTIONS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BEHAVIOR ANALYST
Authorized Official - Prefix:
Authorized Official - First Name:ELIZABETH
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:GINDER
Authorized Official - Suffix:
Authorized Official - Credentials:MSSW, BCBA
Authorized Official - Phone:901-517-8269
Mailing Address - Street 1:120 S DAVID LN
Mailing Address - Street 2:
Mailing Address - City:KNOXVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37922-3203
Mailing Address - Country:US
Mailing Address - Phone:901-517-8269
Mailing Address - Fax:865-525-7494
Practice Address - Street 1:120 S DAVID LN
Practice Address - Street 2:
Practice Address - City:KNOXVILLE
Practice Address - State:TN
Practice Address - Zip Code:37922-3203
Practice Address - Country:US
Practice Address - Phone:901-517-8269
Practice Address - Fax:865-525-7494
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-02-15
Last Update Date:2016-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TNQ020538Medicaid