Provider Demographics
NPI:1639951189
Name:STANLEY ABA CONSULTING, LLC
Entity Type:Organization
Organization Name:STANLEY ABA CONSULTING, LLC
Other - Org Name:BRICKS-N-BLOCKS ABA
Other - Org Type:Doing Business As
Authorized Official - Title/Position:BOARD CERTIFIED BEHAVIOR ANALYST
Authorized Official - Prefix:MR
Authorized Official - First Name:CALVIN
Authorized Official - Middle Name:
Authorized Official - Last Name:STANLEY
Authorized Official - Suffix:
Authorized Official - Credentials:LABA, BCBA
Authorized Official - Phone:781-228-0145
Mailing Address - Street 1:95 LAFAYETTE ST
Mailing Address - Street 2:
Mailing Address - City:RANDOLPH
Mailing Address - State:MA
Mailing Address - Zip Code:02368-3415
Mailing Address - Country:US
Mailing Address - Phone:781-228-0145
Mailing Address - Fax:
Practice Address - Street 1:95 LAFAYETTE ST
Practice Address - Street 2:
Practice Address - City:RANDOLPH
Practice Address - State:MA
Practice Address - Zip Code:02368-3415
Practice Address - Country:US
Practice Address - Phone:781-228-0145
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-10-19
Last Update Date:2023-12-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty