Provider Demographics
NPI:1144009572
Name:FL ABA SERVICES LLC
Entity type:Organization
Organization Name:FL ABA SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ISSAC
Authorized Official - Middle Name:
Authorized Official - Last Name:WEIDER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:645-202-6009
Mailing Address - Street 1:117 NE 1ST AVE FL 9
Mailing Address - Street 2:#1017
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33132-2125
Mailing Address - Country:US
Mailing Address - Phone:645-202-6009
Mailing Address - Fax:645-225-9441
Practice Address - Street 1:117 NE 1ST AVE FL 9
Practice Address - Street 2:#1017
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33132-2125
Practice Address - Country:US
Practice Address - Phone:645-202-6009
Practice Address - Fax:645-225-9441
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-09-25
Last Update Date:2025-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty