Organization
EVOLUTION ABA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. HEATHER PRIMUS BCBA, LBS (OWNER)
(800) 394-1106
Entity
Organization
Contact information
Practice address
2626 TRENTON AVE APT 205, PHILADELPHIA, PA 19125-1814
(800) 394-1106
Mailing address
2626 TRENTON AVE APT 205, PHILADELPHIA, PA 19125-1814
(800) 394-1106
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0891886
—
NJ
Enumeration date
08/01/2023
Last updated
03/25/2025
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