Provider Demographics
NPI:1942934377
Name:EMBRACING AUTISM ABA, LLC
Entity Type:Organization
Organization Name:EMBRACING AUTISM ABA, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/CEO
Authorized Official - Prefix:
Authorized Official - First Name:ELENA
Authorized Official - Middle Name:M
Authorized Official - Last Name:ALI
Authorized Official - Suffix:
Authorized Official - Credentials:BCBA
Authorized Official - Phone:757-406-7397
Mailing Address - Street 1:35 NE 197TH AVE
Mailing Address - Street 2:
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97230-8006
Mailing Address - Country:US
Mailing Address - Phone:757-406-7397
Mailing Address - Fax:877-831-7109
Practice Address - Street 1:35 NE 197TH AVE
Practice Address - Street 2:
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97230-8006
Practice Address - Country:US
Practice Address - Phone:757-406-7397
Practice Address - Fax:877-831-7109
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-07-12
Last Update Date:2022-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty