Provider Demographics
NPI:1871188482
Name:ABA HOME, LLC
Entity Type:Organization
Organization Name:ABA HOME, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FOUNDER/ DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:PETROLINA
Authorized Official - Middle Name:
Authorized Official - Last Name:NOBLE
Authorized Official - Suffix:
Authorized Official - Credentials:BCBA
Authorized Official - Phone:713-392-6146
Mailing Address - Street 1:14207 ANDREA WAY LN
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77083-7711
Mailing Address - Country:US
Mailing Address - Phone:713-392-6146
Mailing Address - Fax:
Practice Address - Street 1:14207 ANDREA WAY LN
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77083-7711
Practice Address - Country:US
Practice Address - Phone:713-392-6146
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-03-05
Last Update Date:2021-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Multi-Specialty
No106E00000XBehavioral Health & Social Service ProvidersAssistant Behavior AnalystGroup - Multi-Specialty
No106S00000XBehavioral Health & Social Service ProvidersBehavior TechnicianGroup - Multi-Specialty
No235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Multi-Specialty