# NLS ABA SERVICES LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1962019406
- **Authorized official:** DIANE MITERKO (CREDENTIALING COORDINATOR)
- **Authorized official phone:** (570) 823-7761

## Contact information

- **Practice address:** 1086 ROUTE 315, PLAINS, PA 18702
- **Practice address phone:** (570) 823-7761
- **Practice address fax:** (570) 822-8033
- **Mailing address:** 1086 ROUTE 315, PLAINS, PA 18702
- **Mailing address phone:** (570) 823-7761
- **Mailing address fax:** (570) 822-8033

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM0855X | Adolescent and Children Mental Health Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 09/29/2020
- **Last updated:** 10/08/2020