Provider Demographics
NPI:1871241752
Name:ABA TELEHEALTH PROJECT, LLC
Entity Type:Organization
Organization Name:ABA TELEHEALTH PROJECT, LLC
Other - Org Name:INNOVATIVE SPECTRUM SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:STEVEN
Authorized Official - Middle Name:
Authorized Official - Last Name:LAFFER
Authorized Official - Suffix:
Authorized Official - Credentials:PHD, BCBA, LBA
Authorized Official - Phone:914-214-4404
Mailing Address - Street 1:145 PALISADE ST STE 200
Mailing Address - Street 2:
Mailing Address - City:DOBBS FERRY
Mailing Address - State:NY
Mailing Address - Zip Code:10522-1627
Mailing Address - Country:US
Mailing Address - Phone:914-214-4404
Mailing Address - Fax:
Practice Address - Street 1:145 PALISADE ST STE 200
Practice Address - Street 2:
Practice Address - City:DOBBS FERRY
Practice Address - State:NY
Practice Address - Zip Code:10522-1627
Practice Address - Country:US
Practice Address - Phone:914-214-4404
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ABA TELEHEALTH PROJECT
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2022-03-10
Last Update Date:2023-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CT000420OtherLBA
NY002778OtherLICENSED BEHAVIOR ANALYST