Provider Demographics
NPI:1225920143
Name:MAXIMIZING INTENTIONAL ABA LLC
Entity type:Organization
Organization Name:MAXIMIZING INTENTIONAL ABA LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DANIELLE
Authorized Official - Middle Name:MONIQUE
Authorized Official - Last Name:MARSHALL
Authorized Official - Suffix:
Authorized Official - Credentials:BSC
Authorized Official - Phone:610-574-3925
Mailing Address - Street 1:11 W VINE ST APT A2
Mailing Address - Street 2:
Mailing Address - City:STOWE
Mailing Address - State:PA
Mailing Address - Zip Code:19464-6824
Mailing Address - Country:US
Mailing Address - Phone:610-574-3926
Mailing Address - Fax:
Practice Address - Street 1:11 W VINE ST APT A2
Practice Address - Street 2:
Practice Address - City:STOWE
Practice Address - State:PA
Practice Address - Zip Code:19464-6824
Practice Address - Country:US
Practice Address - Phone:610-574-3926
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-07-16
Last Update Date:2025-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health