Provider Demographics
NPI:1902113681
Name:ABACS, LLC
Entity Type:Organization
Organization Name:ABACS, LLC
Other - Org Name:ABA CONSULTATION AND SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PROGRAM DIRECTOR/OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:BRANDON
Authorized Official - Middle Name:
Authorized Official - Last Name:HERSCOVITCH
Authorized Official - Suffix:
Authorized Official - Credentials:MS
Authorized Official - Phone:617-505-6183
Mailing Address - Street 1:614 HAMMOND ST
Mailing Address - Street 2:3RD FLOOR
Mailing Address - City:CHESTNUT HILL
Mailing Address - State:MA
Mailing Address - Zip Code:02467-2161
Mailing Address - Country:US
Mailing Address - Phone:617-505-6183
Mailing Address - Fax:617-505-6184
Practice Address - Street 1:614 HAMMOND ST
Practice Address - Street 2:3RD FLOOR
Practice Address - City:CHESTNUT HILL
Practice Address - State:MA
Practice Address - Zip Code:02467-2161
Practice Address - Country:US
Practice Address - Phone:617-505-6183
Practice Address - Fax:617-505-6184
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-09-02
Last Update Date:2010-09-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services
No251S00000XAgenciesCommunity/Behavioral Health
No252Y00000XAgenciesEarly Intervention Provider Agency