Provider Demographics
NPI:1972259562
Name:BEHAVIORAL CAPABILITIES ABA LLC
Entity Type:Organization
Organization Name:BEHAVIORAL CAPABILITIES ABA LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/CEO
Authorized Official - Prefix:
Authorized Official - First Name:BARBARA
Authorized Official - Middle Name:NICOLE
Authorized Official - Last Name:BASKIN
Authorized Official - Suffix:
Authorized Official - Credentials:BCBA, LBA
Authorized Official - Phone:404-384-0196
Mailing Address - Street 1:9521 SUDLEY MANOR DR
Mailing Address - Street 2:
Mailing Address - City:MANASSAS
Mailing Address - State:VA
Mailing Address - Zip Code:20109-3343
Mailing Address - Country:US
Mailing Address - Phone:404-384-0196
Mailing Address - Fax:
Practice Address - Street 1:9521 SUDLEY MANOR DR
Practice Address - Street 2:
Practice Address - City:MANASSAS
Practice Address - State:VA
Practice Address - Zip Code:20109-3343
Practice Address - Country:US
Practice Address - Phone:404-384-0196
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-02-23
Last Update Date:2022-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty