ABA Provider Services

Organization Active NPI Exclusive Provider Organization · Washington, DC

NPI 1780077453 · NPPES record last updated Mar 5, 2015

Key facts

NPI
1780077453
Entity type
Organization (NPI type 2)
Primary specialty
Exclusive Provider Organization 302F00000X
License
000706-1 (NY)
Legal business name
ABA PROVIDER SERVICES
Practice address
1414 VST NW
Apartment 408
Washington, DC 20009
Phone
(757) 676-9162
NPI assigned
Mar 5, 2015
Organization subpart
No

Authorized official

Name
Carol McCarthy, NA
Title
Recruiter
Phone
(212) 564-2350

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Exclusive Provider Organization 302F00000X 000706-1 NY Yes

Addresses

Primary practice location

1414 VST NW
Apartment 408
Washington, DC 20009

Mailing address

1414 VST NW
Apartment 408
Washington, DC 20009
Phone (757) 676-9162

Other providers in Washington, DC

All providers in Washington, DC · Exclusive Provider Organization in District of Columbia

Sources for this page

Verify at the official NPI Registry.