Provider Demographics
NPI:1053161000
Name:CASA ABA THERAPY, LLC
Entity type:Organization
Organization Name:CASA ABA THERAPY, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BCBA
Authorized Official - Prefix:
Authorized Official - First Name:CAROLYNN
Authorized Official - Middle Name:
Authorized Official - Last Name:PIORODA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:626-392-0448
Mailing Address - Street 1:525 E BENBOW ST
Mailing Address - Street 2:
Mailing Address - City:COVINA
Mailing Address - State:CA
Mailing Address - Zip Code:91722-2905
Mailing Address - Country:US
Mailing Address - Phone:626-392-0448
Mailing Address - Fax:
Practice Address - Street 1:525 E BENBOW ST
Practice Address - Street 2:
Practice Address - City:COVINA
Practice Address - State:CA
Practice Address - Zip Code:91722-2905
Practice Address - Country:US
Practice Address - Phone:626-392-0448
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-03-25
Last Update Date:2024-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty