Provider Demographics
NPI:1063146504
Name:CULTURE ABA LLC
Entity type:Organization
Organization Name:CULTURE ABA LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BEHAVIOR ANALYST
Authorized Official - Prefix:
Authorized Official - First Name:TOYIN
Authorized Official - Middle Name:T
Authorized Official - Last Name:SHEKONI
Authorized Official - Suffix:
Authorized Official - Credentials:MS, BCBA, LBA
Authorized Official - Phone:401-808-5067
Mailing Address - Street 1:4107 MITSCHER CT
Mailing Address - Street 2:
Mailing Address - City:KENSINGTON
Mailing Address - State:MD
Mailing Address - Zip Code:20895-1307
Mailing Address - Country:US
Mailing Address - Phone:401-808-5067
Mailing Address - Fax:
Practice Address - Street 1:4107 MITSCHER CT
Practice Address - Street 2:
Practice Address - City:KENSINGTON
Practice Address - State:MD
Practice Address - Zip Code:20895-1307
Practice Address - Country:US
Practice Address - Phone:401-808-5067
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-07-11
Last Update Date:2022-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty