Provider Demographics
NPI:1932927779
Name:ABA NEW DAWN CO LLC
Entity type:Organization
Organization Name:ABA NEW DAWN CO LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:MORDECHAI
Authorized Official - Middle Name:
Authorized Official - Last Name:LEVOVITZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:347-975-8525
Mailing Address - Street 1:1155 S HAVANA STE 11
Mailing Address - Street 2:#1094
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80012-4017
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1155 S HAVANA STE 11
Practice Address - Street 2:#1094
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80012-4017
Practice Address - Country:US
Practice Address - Phone:347-975-8525
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-10-01
Last Update Date:2024-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty