Provider Demographics
NPI:1679801070
Name:LITTLE RED CAR ABA SERVICES, LLC
Entity Type:Organization
Organization Name:LITTLE RED CAR ABA SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KIRSTY
Authorized Official - Middle Name:
Authorized Official - Last Name:MACIVER
Authorized Official - Suffix:
Authorized Official - Credentials:BCBA, LBA
Authorized Official - Phone:269-220-6032
Mailing Address - Street 1:6199 HORIZON HEIGHTS DR
Mailing Address - Street 2:
Mailing Address - City:KALAMAZOO
Mailing Address - State:MI
Mailing Address - Zip Code:49009-9105
Mailing Address - Country:US
Mailing Address - Phone:269-220-6032
Mailing Address - Fax:443-341-4177
Practice Address - Street 1:6199 HORIZON HEIGHTS DR
Practice Address - Street 2:
Practice Address - City:KALAMAZOO
Practice Address - State:MI
Practice Address - Zip Code:49009-9105
Practice Address - Country:US
Practice Address - Phone:269-220-6032
Practice Address - Fax:443-341-4177
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-11-23
Last Update Date:2023-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty