Provider Demographics
NPI:1962151043
Name:APPLIED BEHAVIOR ANALYSIS SERVICES INCORPORATED
Entity type:Organization
Organization Name:APPLIED BEHAVIOR ANALYSIS SERVICES INCORPORATED
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:BRIAN
Authorized Official - Middle Name:MUIRELL
Authorized Official - Last Name:SCOTT
Authorized Official - Suffix:
Authorized Official - Credentials:BCBA
Authorized Official - Phone:646-765-5049
Mailing Address - Street 1:1852 S GORDON ST SW
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30310-2360
Mailing Address - Country:US
Mailing Address - Phone:646-765-5049
Mailing Address - Fax:626-406-2498
Practice Address - Street 1:1852 S GORDON ST SW
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30310-2360
Practice Address - Country:US
Practice Address - Phone:646-765-5049
Practice Address - Fax:626-406-2498
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-03-23
Last Update Date:2022-03-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty