Provider Demographics
NPI:1326886243
Name:NARRA ABA LLC
Entity type:Organization
Organization Name:NARRA ABA LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BCBA
Authorized Official - Prefix:
Authorized Official - First Name:VERONICA
Authorized Official - Middle Name:
Authorized Official - Last Name:ROJAS
Authorized Official - Suffix:
Authorized Official - Credentials:BCBA
Authorized Official - Phone:646-627-1035
Mailing Address - Street 1:119 SW GRIMALDO TER
Mailing Address - Street 2:
Mailing Address - City:PORT ST LUCIE
Mailing Address - State:FL
Mailing Address - Zip Code:34984-4454
Mailing Address - Country:US
Mailing Address - Phone:646-627-1035
Mailing Address - Fax:
Practice Address - Street 1:4152 OKEECHOBEE RD STE D
Practice Address - Street 2:
Practice Address - City:FORT PIERCE
Practice Address - State:FL
Practice Address - Zip Code:34947-5402
Practice Address - Country:US
Practice Address - Phone:646-627-1035
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-07-16
Last Update Date:2024-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health