Southeastern ABA LLC

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Legal business name

SOUTHEASTERN ABA LLC

Practice address

116 Helen Dr
Hanson, MA 02341-1207

Phone

(508) 212-4643

NPI assigned

Feb 15, 2015

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Pamela L Ten Eyck, M.S. BCBA

Title

Owner

Phone

(508) 212-4643

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1423958400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1441152000000",
    "number": "1275924060",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "116 HELEN DR",
            "city": "HANSON",
            "state": "MA",
            "postal_code": "023411207",
            "telephone_number": "508-212-4643"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "116 HELEN DR",
            "city": "HANSON",
            "state": "MA",
            "postal_code": "023411207",
            "telephone_number": "508-212-4643"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHEASTERN ABA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-15",
        "last_updated": "2015-09-02",
        "status": "A",
        "authorized_official_last_name": "TEN EYCK",
        "authorized_official_first_name": "PAMELA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "508-212-4643",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "M.S. BCBA"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Behavior Analyst in Hanson, MA
• Providers in Hanson, MA by specialty
• Behavior Analyst in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.