Provider Demographics
NPI:1730917360
Name:WONDERLAND ABA COMPANY
Entity type:Organization
Organization Name:WONDERLAND ABA COMPANY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BCBA
Authorized Official - Prefix:MRS
Authorized Official - First Name:KIRAN
Authorized Official - Middle Name:KARIM
Authorized Official - Last Name:LALANI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:954-647-2485
Mailing Address - Street 1:500 THRASHER ST APT 1119
Mailing Address - Street 2:
Mailing Address - City:NORCROSS
Mailing Address - State:GA
Mailing Address - Zip Code:30071-1971
Mailing Address - Country:US
Mailing Address - Phone:954-647-2485
Mailing Address - Fax:
Practice Address - Street 1:500 THRASHER ST APT 1119
Practice Address - Street 2:
Practice Address - City:NORCROSS
Practice Address - State:GA
Practice Address - Zip Code:30071-1971
Practice Address - Country:US
Practice Address - Phone:954-647-2485
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-07-24
Last Update Date:2024-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Multi-Specialty
No106S00000XBehavioral Health & Social Service ProvidersBehavior TechnicianGroup - Multi-Specialty