Provider Demographics
NPI:1639684269
Name:ROMAN EMPIRE ABA SERVICES, INC.
Entity Type:Organization
Organization Name:ROMAN EMPIRE ABA SERVICES, INC.
Other - Org Name:ROMAN EMPIRE LIVING SKILLS
Other - Org Type:Other Name
Authorized Official - Title/Position:PROGRAM DIRECTOR/FOUNDER
Authorized Official - Prefix:MRS
Authorized Official - First Name:GABRIELA
Authorized Official - Middle Name:
Authorized Official - Last Name:SALCIDO
Authorized Official - Suffix:
Authorized Official - Credentials:JD LLM MED
Authorized Official - Phone:626-833-8424
Mailing Address - Street 1:1000 S FREMONT AVE UNIT 85
Mailing Address - Street 2:
Mailing Address - City:ALHAMBRA
Mailing Address - State:CA
Mailing Address - Zip Code:91803-8822
Mailing Address - Country:US
Mailing Address - Phone:626-833-8424
Mailing Address - Fax:818-450-0281
Practice Address - Street 1:1000 S FREMONT AVE UNIT 85
Practice Address - Street 2:
Practice Address - City:ALHAMBRA
Practice Address - State:CA
Practice Address - Zip Code:91803-8822
Practice Address - Country:US
Practice Address - Phone:626-833-8424
Practice Address - Fax:818-450-0281
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-12-05
Last Update Date:2018-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health