# A B A PROFESSIONAL SERVICES

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1205190725
- **Authorized official:** MRS. JEANINE CARLSON M.S.ED. (OWNER)
- **Authorized official phone:** (347) 236-1340

## Contact information

- **Practice address:** 79 OAKDALE ST, STATEN ISLAND, NY 10308-2603
- **Practice address phone:** (718) 967-2242
- **Mailing address:** 79 OAKDALE ST, STATEN ISLAND, NY 10308-2603
- **Mailing address phone:** (718) 967-2242

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 252Y00000X | Early Intervention Provider Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 06/28/2012
- **Last updated:** 06/28/2012