Provider Demographics
NPI:1740863802
Name:PREMIER ABA LLC
Entity type:Organization
Organization Name:PREMIER ABA LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:COURTNEY
Authorized Official - Middle Name:BREANNE
Authorized Official - Last Name:RINKER
Authorized Official - Suffix:
Authorized Official - Credentials:BCBA
Authorized Official - Phone:951-206-2964
Mailing Address - Street 1:106 E 6TH ST STE 900-951
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78701-3659
Mailing Address - Country:US
Mailing Address - Phone:951-206-2964
Mailing Address - Fax:915-243-6046
Practice Address - Street 1:106 E 6TH ST STE 900-951
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78701-3659
Practice Address - Country:US
Practice Address - Phone:951-206-2964
Practice Address - Fax:915-243-6046
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-05-05
Last Update Date:2022-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty