Provider Demographics
NPI:1750722138
Name:ABA 4 AUTISM, INC
Entity type:Organization
Organization Name:ABA 4 AUTISM, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:PERRY
Authorized Official - Middle Name:
Authorized Official - Last Name:OLSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:603-732-3415
Mailing Address - Street 1:6 WALTER HILL RD
Mailing Address - Street 2:
Mailing Address - City:MONT VERNON
Mailing Address - State:NH
Mailing Address - Zip Code:03057-1528
Mailing Address - Country:US
Mailing Address - Phone:603-732-3415
Mailing Address - Fax:
Practice Address - Street 1:6 WALTER HILL RD
Practice Address - Street 2:
Practice Address - City:MONT VERNON
Practice Address - State:NH
Practice Address - Zip Code:03057-1528
Practice Address - Country:US
Practice Address - Phone:603-732-3415
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-07-12
Last Update Date:2013-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes252Y00000XAgenciesEarly Intervention Provider Agency