Provider Demographics
NPI:1053012617
Name:ABA EVOLUTION THERAPY LLC
Entity type:Organization
Organization Name:ABA EVOLUTION THERAPY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:YEHNYS
Authorized Official - Middle Name:
Authorized Official - Last Name:TORRES GACITA
Authorized Official - Suffix:
Authorized Official - Credentials:BCBA
Authorized Official - Phone:954-889-2226
Mailing Address - Street 1:1931 NW 150TH AVE STE 116
Mailing Address - Street 2:
Mailing Address - City:PEMBROKE PINES
Mailing Address - State:FL
Mailing Address - Zip Code:33028-2873
Mailing Address - Country:US
Mailing Address - Phone:954-889-2226
Mailing Address - Fax:954-889-6610
Practice Address - Street 1:1931 NW 150TH AVE STE 116
Practice Address - Street 2:
Practice Address - City:PEMBROKE PINES
Practice Address - State:FL
Practice Address - Zip Code:33028-2873
Practice Address - Country:US
Practice Address - Phone:954-889-2226
Practice Address - Fax:954-889-6610
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-03-10
Last Update Date:2023-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty