Provider Demographics
NPI:1740735810
Name:ABA ALLIANCE THERAPY LLC
Entity Type:Organization
Organization Name:ABA ALLIANCE THERAPY LLC
Other - Org Name:ABA ALLIANCE THERAPY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:HINA
Authorized Official - Middle Name:
Authorized Official - Last Name:EFZIL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:407-929-3810
Mailing Address - Street 1:924 DELANEY AVE
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32806-1246
Mailing Address - Country:US
Mailing Address - Phone:321-247-5165
Mailing Address - Fax:
Practice Address - Street 1:924 DELANEY AVE
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32806-1246
Practice Address - Country:US
Practice Address - Phone:321-247-5165
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-08-18
Last Update Date:2021-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
11621480103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Multi-Specialty