Provider Demographics
NPI:1245048461
Name:ASSENT ABA
Entity type:Organization
Organization Name:ASSENT ABA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MISS
Authorized Official - First Name:HEATHER
Authorized Official - Middle Name:
Authorized Official - Last Name:MURLEY
Authorized Official - Suffix:
Authorized Official - Credentials:BCBA
Authorized Official - Phone:207-432-5266
Mailing Address - Street 1:1207 PROVINCE LAKE RD
Mailing Address - Street 2:
Mailing Address - City:EAST WAKEFIELD
Mailing Address - State:NH
Mailing Address - Zip Code:03830-3969
Mailing Address - Country:US
Mailing Address - Phone:207-432-5266
Mailing Address - Fax:
Practice Address - Street 1:1207 PROVINCE LAKE RD
Practice Address - Street 2:
Practice Address - City:EAST WAKEFIELD
Practice Address - State:NH
Practice Address - Zip Code:03830-3969
Practice Address - Country:US
Practice Address - Phone:207-432-5266
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-12-19
Last Update Date:2024-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty