Provider Demographics
NPI:1245882034
Name:ON TRACK ABA THERAPY
Entity type:Organization
Organization Name:ON TRACK ABA THERAPY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BCBA
Authorized Official - Prefix:
Authorized Official - First Name:RACHEL
Authorized Official - Middle Name:
Authorized Official - Last Name:KRIGBAUM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:913-475-1095
Mailing Address - Street 1:5143 MAPLE AVE
Mailing Address - Street 2:
Mailing Address - City:MISSION
Mailing Address - State:KS
Mailing Address - Zip Code:66202-1825
Mailing Address - Country:US
Mailing Address - Phone:913-475-1095
Mailing Address - Fax:
Practice Address - Street 1:5143 MAPLE AVE
Practice Address - Street 2:
Practice Address - City:MISSION
Practice Address - State:KS
Practice Address - Zip Code:66202-1825
Practice Address - Country:US
Practice Address - Phone:913-475-1095
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-07-11
Last Update Date:2019-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health