Provider Demographics
NPI:1184448904
Name:MEANINGFUL OUTCOMES ABA, LLC
Entity type:Organization
Organization Name:MEANINGFUL OUTCOMES ABA, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:KAREN
Authorized Official - Middle Name:
Authorized Official - Last Name:ALITZ
Authorized Official - Suffix:
Authorized Official - Credentials:BCBA, LABA
Authorized Official - Phone:508-499-8061
Mailing Address - Street 1:PO BOX 15
Mailing Address - Street 2:
Mailing Address - City:EAST BROOKFIELD
Mailing Address - State:MA
Mailing Address - Zip Code:01515-0015
Mailing Address - Country:US
Mailing Address - Phone:413-262-0155
Mailing Address - Fax:
Practice Address - Street 1:161 HARRINGTON ST
Practice Address - Street 2:
Practice Address - City:EAST BROOKFIELD
Practice Address - State:MA
Practice Address - Zip Code:01515-1708
Practice Address - Country:US
Practice Address - Phone:413-262-0155
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-11-08
Last Update Date:2024-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty