Organization
ABA SUPPORT SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMY GABLE (PRESIDENT, MED. BCBA, LBS)
(610) 365-8373
Entity
Organization
Contact information
Practice address
224 NAZARETH PIKE UNIT 22A, BETHLEHEM, PA 18020-9084
(610) 365-8373
(610) 365-2522
Mailing address
224 NAZARETH PIKE UNIT 22A, BETHLEHEM, PA 18020-9084
(610) 365-8373
(610) 365-2522
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
—
—
225X00000X
Occupational Therapist
—
—
225XP0200X
Pediatric Occupational Therapist
Primary
—
—
2355S0801X
Speech-Language Assistant
—
—
235Z00000X
Speech-Language Pathologist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103128077
—
PA
Enumeration date
04/15/2021
Last updated
04/15/2021
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