Organization
FAMILY ABA, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARIA BATES BCBA (OWNER/ BEHAVIOR ANALYST)
(618) 803-0843
Entity
Organization
Contact information
Practice address
421 BEDFORD ST, LEXINGTON, MA 02420-1536
(617) 803-0843
Mailing address
421 BEDFORD STREET, LEXINGTON, MA 02420
(617) 803-0843
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1124201488
ASD
—
Enumeration date
06/30/2017
Last updated
07/21/2022
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