Provider Demographics
NPI:1104439041
Name:ABA EFFECTS
Entity type:Organization
Organization Name:ABA EFFECTS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF EXECUTIVE OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:DARNETHIA
Authorized Official - Middle Name:
Authorized Official - Last Name:MORGAN-BROWN
Authorized Official - Suffix:
Authorized Official - Credentials:MED, LBA BCBA
Authorized Official - Phone:901-310-4265
Mailing Address - Street 1:1845 MORIAH WOODS BLVD STE 7
Mailing Address - Street 2:
Mailing Address - City:MEMPHIS
Mailing Address - State:TN
Mailing Address - Zip Code:38117-7123
Mailing Address - Country:US
Mailing Address - Phone:901-310-4265
Mailing Address - Fax:901-284-2094
Practice Address - Street 1:1845 MORIAH WOODS BLVD STE 7
Practice Address - Street 2:
Practice Address - City:MEMPHIS
Practice Address - State:TN
Practice Address - Zip Code:38117-7123
Practice Address - Country:US
Practice Address - Phone:901-310-4265
Practice Address - Fax:901-284-2094
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ACCEDENCE BEHAVIORAL HEALTH
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2020-08-29
Last Update Date:2023-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Multi-Specialty
No261QD1600XAmbulatory Health Care FacilitiesClinic/CenterDevelopmental DisabilitiesGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TNQ047044Medicaid
TNQ047274Medicaid