Provider Demographics
NPI:1801387659
Name:SHALOM ABA SERVICES
Entity Type:Organization
Organization Name:SHALOM ABA SERVICES
Other - Org Name:SHALOM ABA SERVICES
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:BEHAVIOR TECHNICIAN
Authorized Official - Prefix:MS
Authorized Official - First Name:CLAUDIA
Authorized Official - Middle Name:MARIA
Authorized Official - Last Name:USME
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:786-277-9449
Mailing Address - Street 1:9592 SW 88TH ST
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33176-1941
Mailing Address - Country:US
Mailing Address - Phone:786-277-9449
Mailing Address - Fax:
Practice Address - Street 1:9592 SW 88TH ST
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33176-1941
Practice Address - Country:US
Practice Address - Phone:786-277-9449
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-05-27
Last Update Date:2018-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty