Provider Demographics
NPI:1275810574
Name:CAPITAL ABA, LLC
Entity type:Organization
Organization Name:CAPITAL ABA, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BEHAVIOR ANALYST/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:ROBERT
Authorized Official - Last Name:MITTERMAIER
Authorized Official - Suffix:
Authorized Official - Credentials:BCBA
Authorized Official - Phone:202-600-2853
Mailing Address - Street 1:1517 30TH ST NW
Mailing Address - Street 2:C02
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20007
Mailing Address - Country:US
Mailing Address - Phone:202-600-2853
Mailing Address - Fax:202-600-2823
Practice Address - Street 1:1517 30TH ST NW
Practice Address - Street 2:C02
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20007
Practice Address - Country:US
Practice Address - Phone:202-600-2853
Practice Address - Fax:202-600-2823
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-11-15
Last Update Date:2024-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health