Provider Demographics
NPI:1942067889
Name:ABA ANOTHER WAY
Entity Type:Organization
Organization Name:ABA ANOTHER WAY
Other - Org Name:ABA YOUR WAY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CHIEF EXECUTIVE OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:MALIA
Authorized Official - Middle Name:
Authorized Official - Last Name:MONROE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:562-241-2004
Mailing Address - Street 1:6032 VILLAGE RD
Mailing Address - Street 2:
Mailing Address - City:LAKEWOOD
Mailing Address - State:CA
Mailing Address - Zip Code:90713-3129
Mailing Address - Country:US
Mailing Address - Phone:562-241-2004
Mailing Address - Fax:888-966-0057
Practice Address - Street 1:6032 VILLAGE RD
Practice Address - Street 2:
Practice Address - City:LAKEWOOD
Practice Address - State:CA
Practice Address - Zip Code:90713-3129
Practice Address - Country:US
Practice Address - Phone:562-241-2004
Practice Address - Fax:888-966-0057
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ABA YOUR WAY
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2024-03-05
Last Update Date:2024-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Multi-Specialty