NPI 1669215638 · live from the CMS NPI Registry
Aba Brightside In LLC
Behavior Analyst in Indianapolis, IN. National Provider Identifier 1669215638, active.
NPI record
| NPI | 1669215638 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Behavior Analyst 103K00000X |
| Practice location | 8720 Knickerbocker Way, Indianapolis, IN 46240 |
| Practice phone | 347-461-0983 |
| Mailing address | 46 Washington Ave Ste 1, Suffern, NY 10901 |
| Enumerated | June 17, 2024 |
| Last updated | June 17, 2024 |
| Authorized official | Mayer Kulefsky, Vp Of Operations |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Behavior Analyst primary | 103K00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.