Provider Demographics
NPI:1619857588
Name:COMMIT TO CHANGE ABA THERAPY AND CONSULTING, LLC
Entity type:Organization
Organization Name:COMMIT TO CHANGE ABA THERAPY AND CONSULTING, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BEHAVIOR ANALYST
Authorized Official - Prefix:
Authorized Official - First Name:HEATHER
Authorized Official - Middle Name:A
Authorized Official - Last Name:ASMUSSEN
Authorized Official - Suffix:
Authorized Official - Credentials:BCBA
Authorized Official - Phone:605-270-7881
Mailing Address - Street 1:46322 217TH ST
Mailing Address - Street 2:
Mailing Address - City:VOLGA
Mailing Address - State:SD
Mailing Address - Zip Code:57071-6904
Mailing Address - Country:US
Mailing Address - Phone:605-270-7881
Mailing Address - Fax:
Practice Address - Street 1:1310 MAIN AVE S STE 112
Practice Address - Street 2:
Practice Address - City:BROOKINGS
Practice Address - State:SD
Practice Address - Zip Code:57006-3894
Practice Address - Country:US
Practice Address - Phone:605-270-7881
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-09-03
Last Update Date:2025-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health