Provider Demographics
NPI:1922540988
Name:HEARTS FOR ABA
Entity Type:Organization
Organization Name:HEARTS FOR ABA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:NICHOL
Authorized Official - Middle Name:M
Authorized Official - Last Name:MOREY
Authorized Official - Suffix:
Authorized Official - Credentials:BCBA
Authorized Official - Phone:937-572-8916
Mailing Address - Street 1:4925 FISHBURG RD
Mailing Address - Street 2:
Mailing Address - City:HUBER HEIGHTS
Mailing Address - State:OH
Mailing Address - Zip Code:45424-5306
Mailing Address - Country:US
Mailing Address - Phone:937-723-8272
Mailing Address - Fax:
Practice Address - Street 1:4925 FISHBURG RD
Practice Address - Street 2:
Practice Address - City:HUBER HEIGHTS
Practice Address - State:OH
Practice Address - Zip Code:45424-5306
Practice Address - Country:US
Practice Address - Phone:937-723-8272
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-11-08
Last Update Date:2016-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH1-09-5259103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty