Provider Demographics
NPI:1619593175
Name:ABA ESSENTIALS LLC
Entity Type:Organization
Organization Name:ABA ESSENTIALS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/CEO
Authorized Official - Prefix:
Authorized Official - First Name:BRANDALYN
Authorized Official - Middle Name:
Authorized Official - Last Name:NEW
Authorized Official - Suffix:
Authorized Official - Credentials:BCBA
Authorized Official - Phone:256-926-8246
Mailing Address - Street 1:6900 SCHOMBURG RD APT 601
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:GA
Mailing Address - Zip Code:31909-1516
Mailing Address - Country:US
Mailing Address - Phone:256-926-8246
Mailing Address - Fax:
Practice Address - Street 1:6900 SCHOMBURG RD APT 601
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:GA
Practice Address - Zip Code:31909-1516
Practice Address - Country:US
Practice Address - Phone:256-926-8246
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-06-21
Last Update Date:2020-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Multi-Specialty
No251C00000XAgenciesDay Training, Developmentally Disabled Services
No252Y00000XAgenciesEarly Intervention Provider Agency
No261Q00000XAmbulatory Health Care FacilitiesClinic/CenterGroup - Multi-Specialty