Provider Demographics
NPI:1114726908
Name:ABA AUTISM THERAPY FOR KIDS INC
Entity type:Organization
Organization Name:ABA AUTISM THERAPY FOR KIDS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:PERSIA
Authorized Official - Middle Name:
Authorized Official - Last Name:ILYAVI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:954-235-1530
Mailing Address - Street 1:11555 HERON BAY BLVD STE 200
Mailing Address - Street 2:
Mailing Address - City:CORAL SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:33076-3362
Mailing Address - Country:US
Mailing Address - Phone:954-235-1530
Mailing Address - Fax:
Practice Address - Street 1:11555 HERON BAY BLVD STE 200
Practice Address - Street 2:
Practice Address - City:CORAL SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:33076-3362
Practice Address - Country:US
Practice Address - Phone:954-235-1530
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-03-12
Last Update Date:2025-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty