NPI 1508329962 · live from the CMS NPI Registry
Aba Therapy, LLC
Behavior Analyst in Novi, MI. National Provider Identifier 1508329962, active.
NPI record
| NPI | 1508329962 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Behavior Analyst 103K00000X |
| Practice location | 44225 W 12 Mile Rd Ste C-106, Novi, MI 48377 |
| Practice phone | 248-860-6212 |
| Enumerated | April 11, 2019 |
| Last updated | November 2, 2022 |
| Authorized official | Ziad Koza, Ceo |
| Other names | Blossom Children'S Center-Novi |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Counselor | 101Y00000X | — |
| Social Worker | 104100000X | — |
| Assistant Behavior Analyst | 106E00000X | — |
| Behavior Technician | 106S00000X | — |
| Physical Therapist | 225100000X | — |
| Occupational Therapist | 225X00000X | — |
| Speech-Language Pathologist, | 235Z00000X | — |
| Behavior Analyst primary | 103K00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.