Organization
KIDDOS ABA OR LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ETTY GROSSMAN (COO)
(848) 224-3500
Entity
Organization
Contact information
Practice address
15405 SW 116TH AVE STE 111, PORTLAND, OR 97224-4103
(732) 604-7520
Mailing address
1005 BROADWAY, WOODMERE, NY 11598-1227
(732) 604-7520
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
12/08/2025
Last updated
12/08/2025
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