Provider Demographics
NPI:1285164889
Name:EXCEPTIONAL ABA SERVICES INC.
Entity type:Organization
Organization Name:EXCEPTIONAL ABA SERVICES INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FOUNDER/EXECUTIVE DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:ELIZABETH
Authorized Official - Middle Name:MARIA
Authorized Official - Last Name:SANCHEZ-WEST
Authorized Official - Suffix:
Authorized Official - Credentials:LMSW
Authorized Official - Phone:917-806-7297
Mailing Address - Street 1:1809 SEWARD AVE
Mailing Address - Street 2:
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10473-3409
Mailing Address - Country:US
Mailing Address - Phone:917-806-7297
Mailing Address - Fax:
Practice Address - Street 1:1809 SEWARD AVE
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10473
Practice Address - Country:US
Practice Address - Phone:917-806-7297
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-06-15
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY054736-1104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes104100000XBehavioral Health & Social Service ProvidersSocial WorkerGroup - Single Specialty