Provider Demographics
NPI:1174801872
Name:ABA SUPPORT SERVICES LLC
Entity type:Organization
Organization Name:ABA SUPPORT SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BCBA
Authorized Official - Prefix:MRS
Authorized Official - First Name:AMY
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:GABLE
Authorized Official - Suffix:
Authorized Official - Credentials:M ED
Authorized Official - Phone:610-365-8373
Mailing Address - Street 1:224 NAZARETH PIKE
Mailing Address - Street 2:SUITE 22A
Mailing Address - City:BETHLEHEM
Mailing Address - State:PA
Mailing Address - Zip Code:18020-9080
Mailing Address - Country:US
Mailing Address - Phone:610-365-8373
Mailing Address - Fax:610-365-2522
Practice Address - Street 1:224 NAZARETH PIKE
Practice Address - Street 2:SUITE 22A
Practice Address - City:BETHLEHEM
Practice Address - State:PA
Practice Address - Zip Code:18020-9080
Practice Address - Country:US
Practice Address - Phone:610-365-8373
Practice Address - Fax:610-365-2522
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-07-28
Last Update Date:2023-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA1-11-8654251S00000X
PA1-14-16892251S00000X
NJ1-11-8027251S00000X
PABH000126251S00000X
PA1-14-16113251S00000X
PA1-13-14034251S00000X
PA1-11-9678251S00000X
PA1-11-8027251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health