Provider Demographics
NPI:1891764817
Name:ABC INTERVENTION SERVICES, INC.
Entity Type:Organization
Organization Name:ABC INTERVENTION SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT / BEHAVIOR ANALSYST
Authorized Official - Prefix:
Authorized Official - First Name:DAWNE
Authorized Official - Middle Name:NOELKE
Authorized Official - Last Name:D'ALBORA
Authorized Official - Suffix:
Authorized Official - Credentials:BCBA
Authorized Official - Phone:772-473-3460
Mailing Address - Street 1:2925 70TH PL
Mailing Address - Street 2:
Mailing Address - City:VERO BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:32967-5755
Mailing Address - Country:US
Mailing Address - Phone:772-473-3460
Mailing Address - Fax:772-770-5846
Practice Address - Street 1:2925 70TH PL
Practice Address - Street 2:
Practice Address - City:VERO BEACH
Practice Address - State:FL
Practice Address - Zip Code:32967-5755
Practice Address - Country:US
Practice Address - Phone:772-473-3460
Practice Address - Fax:772-770-5846
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-03-14
Last Update Date:2016-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL1-04-1898251C00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL689004196Medicaid
FL689004198Medicaid