Provider Demographics
NPI:1689216012
Name:ABA WITH LOVE
Entity type:Organization
Organization Name:ABA WITH LOVE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/FOUNDER
Authorized Official - Prefix:MISS
Authorized Official - First Name:BAHIJAH
Authorized Official - Middle Name:
Authorized Official - Last Name:SHEIBANEE
Authorized Official - Suffix:
Authorized Official - Credentials:RBT
Authorized Official - Phone:954-305-7252
Mailing Address - Street 1:663 BOUND BROOK RD
Mailing Address - Street 2:
Mailing Address - City:MIDDLESEX
Mailing Address - State:NJ
Mailing Address - Zip Code:08846-2108
Mailing Address - Country:US
Mailing Address - Phone:954-305-7252
Mailing Address - Fax:
Practice Address - Street 1:663 BOUND BROOK RD
Practice Address - Street 2:
Practice Address - City:MIDDLESEX
Practice Address - State:NJ
Practice Address - Zip Code:08846-2108
Practice Address - Country:US
Practice Address - Phone:954-305-7252
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-10-17
Last Update Date:2020-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty