Provider Demographics
NPI:1417304288
Name:ABA BEHAVIORALSERVICES LLC
Entity type:Organization
Organization Name:ABA BEHAVIORALSERVICES LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:MARCIA
Authorized Official - Middle Name:
Authorized Official - Last Name:RUBIN
Authorized Official - Suffix:
Authorized Official - Credentials:LFMT
Authorized Official - Phone:323-388-9982
Mailing Address - Street 1:6310 SAN VICENTE BLVD STE 300
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90048-5447
Mailing Address - Country:US
Mailing Address - Phone:323-693-1600
Mailing Address - Fax:323-693-7131
Practice Address - Street 1:6310 SAN VICENTE BLVD STE 300
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90048-5447
Practice Address - Country:US
Practice Address - Phone:323-693-1600
Practice Address - Fax:323-693-7131
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-05-20
Last Update Date:2022-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty