Provider Demographics
NPI:1043002389
Name:YOUR A MASTERPIECE ABA, LLC.
Entity type:Organization
Organization Name:YOUR A MASTERPIECE ABA, LLC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRES
Authorized Official - Prefix:
Authorized Official - First Name:KATHY
Authorized Official - Middle Name:
Authorized Official - Last Name:BARTON
Authorized Official - Suffix:
Authorized Official - Credentials:BCBA
Authorized Official - Phone:631-935-8666
Mailing Address - Street 1:4669 CARLTON GOLF DR
Mailing Address - Street 2:
Mailing Address - City:LAKE WORTH
Mailing Address - State:FL
Mailing Address - Zip Code:33449-8130
Mailing Address - Country:US
Mailing Address - Phone:631-935-6666
Mailing Address - Fax:
Practice Address - Street 1:4669 CARLTON GOLF DR
Practice Address - Street 2:
Practice Address - City:LAKE WORTH
Practice Address - State:FL
Practice Address - Zip Code:33449-8130
Practice Address - Country:US
Practice Address - Phone:631-935-6666
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-05-21
Last Update Date:2025-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst
No251S00000XAgenciesCommunity/Behavioral Health