Provider Demographics
NPI:1689176505
Name:APEX ABA LLC
Entity Type:Organization
Organization Name:APEX ABA LLC
Other - Org Name:APEX ABA LLC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO/BCBA
Authorized Official - Prefix:
Authorized Official - First Name:CHARLES
Authorized Official - Middle Name:
Authorized Official - Last Name:TAYLOR
Authorized Official - Suffix:
Authorized Official - Credentials:BCBA/LBA
Authorized Official - Phone:423-508-2374
Mailing Address - Street 1:196 BROYLES RD
Mailing Address - Street 2:
Mailing Address - City:SPRING CITY
Mailing Address - State:TN
Mailing Address - Zip Code:37381-5406
Mailing Address - Country:US
Mailing Address - Phone:423-508-2374
Mailing Address - Fax:
Practice Address - Street 1:196 BROYLES RD
Practice Address - Street 2:
Practice Address - City:SPRING CITY
Practice Address - State:TN
Practice Address - Zip Code:37381-5406
Practice Address - Country:US
Practice Address - Phone:423-508-2374
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-03-07
Last Update Date:2018-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN357103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty