Provider Demographics
NPI:1710790993
Name:PALS ABA CENTRAL COAST LLC
Entity type:Organization
Organization Name:PALS ABA CENTRAL COAST LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:REGIONAL DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:ADIB
Authorized Official - Middle Name:
Authorized Official - Last Name:HASHEMI
Authorized Official - Suffix:
Authorized Official - Credentials:BCBA
Authorized Official - Phone:714-733-9051
Mailing Address - Street 1:2950 BROAD ST # 1159
Mailing Address - Street 2:
Mailing Address - City:SAN LUIS OBISPO
Mailing Address - State:CA
Mailing Address - Zip Code:93401-6702
Mailing Address - Country:US
Mailing Address - Phone:714-733-9051
Mailing Address - Fax:
Practice Address - Street 1:7 W FIGUEROA ST STE 300
Practice Address - Street 2:
Practice Address - City:SANTA BARBARA
Practice Address - State:CA
Practice Address - Zip Code:93101-3189
Practice Address - Country:US
Practice Address - Phone:714-733-9051
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:PALS ABA L.L.C.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2025-01-30
Last Update Date:2025-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty