Provider Demographics
NPI:1104691906
Name:ARCC CENTER ABA LLC
Entity type:Organization
Organization Name:ARCC CENTER ABA LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:DAVID
Authorized Official - Last Name:BACSIK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:866-488-6002
Mailing Address - Street 1:5173 WARING RD STE 114
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92120-2705
Mailing Address - Country:US
Mailing Address - Phone:866-488-6002
Mailing Address - Fax:949-812-6657
Practice Address - Street 1:2525 CAMINO DEL RIO S STE 160
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92108-3774
Practice Address - Country:US
Practice Address - Phone:866-488-6002
Practice Address - Fax:949-812-6657
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-11-21
Last Update Date:2023-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty