Provider Demographics
NPI:1033079595
Name:ABS FOUNDATIONS ABA SPECIALISTS LLC
Entity type:Organization
Organization Name:ABS FOUNDATIONS ABA SPECIALISTS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BCBA
Authorized Official - Prefix:
Authorized Official - First Name:KARA
Authorized Official - Middle Name:
Authorized Official - Last Name:GULOTTA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:413-824-1454
Mailing Address - Street 1:14049 S 299TH EAST AVE
Mailing Address - Street 2:
Mailing Address - City:COWETA
Mailing Address - State:OK
Mailing Address - Zip Code:74429-7810
Mailing Address - Country:US
Mailing Address - Phone:413-824-1454
Mailing Address - Fax:
Practice Address - Street 1:102 S BRISTOW AVE
Practice Address - Street 2:
Practice Address - City:COWETA
Practice Address - State:OK
Practice Address - Zip Code:74429-2474
Practice Address - Country:US
Practice Address - Phone:413-824-1454
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-11-17
Last Update Date:2025-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Multi-Specialty