Provider Demographics
NPI:1568295087
Name:COMMUNITY ABA SOLUTIONS
Entity type:Organization
Organization Name:COMMUNITY ABA SOLUTIONS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:YAZMIN
Authorized Official - Middle Name:
Authorized Official - Last Name:LABOY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:813-203-4211
Mailing Address - Street 1:401 ROYALTY RUN PL APT 2
Mailing Address - Street 2:
Mailing Address - City:BRANDON
Mailing Address - State:FL
Mailing Address - Zip Code:33511-5851
Mailing Address - Country:US
Mailing Address - Phone:813-203-4211
Mailing Address - Fax:
Practice Address - Street 1:401 ROYALTY RUN PL APT 2
Practice Address - Street 2:
Practice Address - City:BRANDON
Practice Address - State:FL
Practice Address - Zip Code:33511-5851
Practice Address - Country:US
Practice Address - Phone:813-203-4211
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-08-21
Last Update Date:2024-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty