Provider Demographics
NPI:1679036784
Name:ENABLE ABA SERVICES PLLC
Entity Type:Organization
Organization Name:ENABLE ABA SERVICES PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BEHAVIOR ANALYST
Authorized Official - Prefix:
Authorized Official - First Name:KATHERINE
Authorized Official - Middle Name:CLAIR
Authorized Official - Last Name:OLSON
Authorized Official - Suffix:
Authorized Official - Credentials:BCBA
Authorized Official - Phone:701-630-8795
Mailing Address - Street 1:602 21ST AVE S
Mailing Address - Street 2:
Mailing Address - City:FARGO
Mailing Address - State:ND
Mailing Address - Zip Code:58103-5321
Mailing Address - Country:US
Mailing Address - Phone:701-630-8795
Mailing Address - Fax:
Practice Address - Street 1:112 UNIVERSITY DR N
Practice Address - Street 2:
Practice Address - City:FARGO
Practice Address - State:ND
Practice Address - Zip Code:58102-4661
Practice Address - Country:US
Practice Address - Phone:701-630-8795
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-04-08
Last Update Date:2019-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty