Provider Demographics
NPI:1992544092
Name:TEACH AND PLAY ABA INC
Entity type:Organization
Organization Name:TEACH AND PLAY ABA INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:SARA
Authorized Official - Middle Name:ALLYN
Authorized Official - Last Name:SHRIVASTAV
Authorized Official - Suffix:
Authorized Official - Credentials:BCBA
Authorized Official - Phone:217-769-1551
Mailing Address - Street 1:9528 MIRAMAR RD # 1072
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92126-4533
Mailing Address - Country:US
Mailing Address - Phone:217-769-1551
Mailing Address - Fax:858-377-5462
Practice Address - Street 1:845 15TH ST STE 407A
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92101-8098
Practice Address - Country:US
Practice Address - Phone:217-769-1551
Practice Address - Fax:858-377-5462
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-05-20
Last Update Date:2024-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty