Provider Demographics
NPI:1992429898
Name:A FOR ABA LLC
Entity type:Organization
Organization Name:A FOR ABA LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BEHAVIOR ANALYST/ OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:LAUREN
Authorized Official - Middle Name:ELIZABETH
Authorized Official - Last Name:MIKLOSE
Authorized Official - Suffix:
Authorized Official - Credentials:BCBA
Authorized Official - Phone:707-366-2833
Mailing Address - Street 1:4847 LANGLEY WAY
Mailing Address - Street 2:
Mailing Address - City:MERCED
Mailing Address - State:CA
Mailing Address - Zip Code:95348-8544
Mailing Address - Country:US
Mailing Address - Phone:707-366-2833
Mailing Address - Fax:
Practice Address - Street 1:4847 LANGLEY WAY
Practice Address - Street 2:
Practice Address - City:MERCED
Practice Address - State:CA
Practice Address - Zip Code:95348-8544
Practice Address - Country:US
Practice Address - Phone:707-366-2833
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-10-04
Last Update Date:2022-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty