Provider Demographics
NPI:1033861455
Name:ABA THERAPY OF PALM BEACH LLC
Entity type:Organization
Organization Name:ABA THERAPY OF PALM BEACH LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:SUSANA
Authorized Official - Middle Name:
Authorized Official - Last Name:AUDI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:561-328-8312
Mailing Address - Street 1:1225 S MILITARY TRL STE E
Mailing Address - Street 2:
Mailing Address - City:WEST PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33415-4630
Mailing Address - Country:US
Mailing Address - Phone:561-328-8312
Mailing Address - Fax:561-584-5033
Practice Address - Street 1:1225 S MILITARY TRL STE D
Practice Address - Street 2:
Practice Address - City:WEST PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33415-4698
Practice Address - Country:US
Practice Address - Phone:561-284-0625
Practice Address - Fax:561-201-7917
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-01-26
Last Update Date:2025-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty