Provider Demographics
NPI:1740015148
Name:BUZZ ABA LLC
Entity type:Organization
Organization Name:BUZZ ABA LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:MAURICIO
Authorized Official - Middle Name:
Authorized Official - Last Name:MONICO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:425-749-0969
Mailing Address - Street 1:9 THORNDIKE RD
Mailing Address - Street 2:
Mailing Address - City:WINDHAM
Mailing Address - State:NH
Mailing Address - Zip Code:03087-1125
Mailing Address - Country:US
Mailing Address - Phone:425-749-0969
Mailing Address - Fax:
Practice Address - Street 1:9 THORNDIKE RD
Practice Address - Street 2:
Practice Address - City:WINDHAM
Practice Address - State:NH
Practice Address - Zip Code:03087-1125
Practice Address - Country:US
Practice Address - Phone:425-749-0969
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-09-04
Last Update Date:2024-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty