Provider Demographics
NPI:1841090917
Name:ACTUS ABA LLC
Entity type:Organization
Organization Name:ACTUS ABA LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MISS
Authorized Official - First Name:LAYLA
Authorized Official - Middle Name:
Authorized Official - Last Name:ALI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:763-318-4915
Mailing Address - Street 1:611 WILSHIRE BLVD STE 900
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90017-2905
Mailing Address - Country:US
Mailing Address - Phone:213-207-6630
Mailing Address - Fax:
Practice Address - Street 1:180 D DU CANE ROAD
Practice Address - Street 2:
Practice Address - City:LONDON
Practice Address - State:ENGLAND
Practice Address - Zip Code:W12 0TX
Practice Address - Country:IO
Practice Address - Phone:213-207-6630
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-03-17
Last Update Date:2025-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty