Provider Demographics
NPI:1366177644
Name:ABA KIDS CONNECTION INC
Entity type:Organization
Organization Name:ABA KIDS CONNECTION INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:YANELIS
Authorized Official - Middle Name:
Authorized Official - Last Name:LEYVA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:689-766-2034
Mailing Address - Street 1:1300 E MICHIGAN ST STE B
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32806-4815
Mailing Address - Country:US
Mailing Address - Phone:407-488-6898
Mailing Address - Fax:407-988-2452
Practice Address - Street 1:1300 E MICHIGAN ST STE B
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32806-4815
Practice Address - Country:US
Practice Address - Phone:407-488-6898
Practice Address - Fax:407-988-2452
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-07-20
Last Update Date:2023-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Multi-Specialty