Provider Demographics
NPI:1457712093
Name:COMPLETE ABA, L.L.C.
Entity Type:Organization
Organization Name:COMPLETE ABA, L.L.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING MEMBER/OWNER/CONSULTANT
Authorized Official - Prefix:
Authorized Official - First Name:ASHLEY
Authorized Official - Middle Name:
Authorized Official - Last Name:CHASTAIN
Authorized Official - Suffix:
Authorized Official - Credentials:BCBA
Authorized Official - Phone:704-560-5405
Mailing Address - Street 1:1303 HILLSHIRE MEADOW DR
Mailing Address - Street 2:
Mailing Address - City:MATTHEWS
Mailing Address - State:NC
Mailing Address - Zip Code:28105-5294
Mailing Address - Country:US
Mailing Address - Phone:704-560-5405
Mailing Address - Fax:
Practice Address - Street 1:1303 HILLSHIRE MEADOW DR
Practice Address - Street 2:
Practice Address - City:MATTHEWS
Practice Address - State:NC
Practice Address - Zip Code:28105-5294
Practice Address - Country:US
Practice Address - Phone:704-560-5405
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-03-10
Last Update Date:2021-12-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty