Provider Demographics
NPI:1679381453
Name:ABLE STARS ABA LLC
Entity type:Organization
Organization Name:ABLE STARS ABA LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:SAMUEL
Authorized Official - Middle Name:
Authorized Official - Last Name:KALLNER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:410-929-4711
Mailing Address - Street 1:180 SUMMIT AVE STE 204
Mailing Address - Street 2:
Mailing Address - City:MONTVALE
Mailing Address - State:NJ
Mailing Address - Zip Code:07645-1722
Mailing Address - Country:US
Mailing Address - Phone:410-929-4711
Mailing Address - Fax:
Practice Address - Street 1:729 E PRATT ST STE 560
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21202-3558
Practice Address - Country:US
Practice Address - Phone:410-929-4711
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-12-24
Last Update Date:2024-12-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty