Provider Demographics
NPI:1013723618
Name:NURTURED ROOTS ABA, LLC
Entity type:Organization
Organization Name:NURTURED ROOTS ABA, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FOUNDER/CEO
Authorized Official - Prefix:
Authorized Official - First Name:AMY
Authorized Official - Middle Name:
Authorized Official - Last Name:SPINDLER
Authorized Official - Suffix:
Authorized Official - Credentials:BCBA
Authorized Official - Phone:941-380-2954
Mailing Address - Street 1:PO BOX 828
Mailing Address - Street 2:
Mailing Address - City:MURPHY
Mailing Address - State:NC
Mailing Address - Zip Code:28906-0828
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:833-644-8707
Practice Address - Street 1:386 BLACKBERRY BND
Practice Address - Street 2:
Practice Address - City:MURPHY
Practice Address - State:NC
Practice Address - Zip Code:28906-8316
Practice Address - Country:US
Practice Address - Phone:941-380-2954
Practice Address - Fax:833-644-8707
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-12-09
Last Update Date:2024-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty