Provider Demographics
NPI:1063960086
Name:ABA SPECIALTY GROUP LLC
Entity type:Organization
Organization Name:ABA SPECIALTY GROUP LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:CHRISTOPH
Authorized Official - Middle Name:
Authorized Official - Last Name:RONACHER
Authorized Official - Suffix:
Authorized Official - Credentials:MS
Authorized Official - Phone:786-942-7827
Mailing Address - Street 1:1040 BISCAYNE BLVD
Mailing Address - Street 2:3606
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33132-1706
Mailing Address - Country:US
Mailing Address - Phone:786-942-7827
Mailing Address - Fax:
Practice Address - Street 1:1040 BISCAYNE BLVD
Practice Address - Street 2:3606
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33132-1706
Practice Address - Country:US
Practice Address - Phone:786-942-7827
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-09-19
Last Update Date:2016-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty