Provider Demographics
NPI:1730884651
Name:SENSORY LEARNING ABA LLC
Entity type:Organization
Organization Name:SENSORY LEARNING ABA LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:DARYL
Authorized Official - Middle Name:K
Authorized Official - Last Name:WASSERMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:954-734-4708
Mailing Address - Street 1:1100 W 49TH ST UNIT 6
Mailing Address - Street 2:
Mailing Address - City:HIALEAH
Mailing Address - State:FL
Mailing Address - Zip Code:33012-3323
Mailing Address - Country:US
Mailing Address - Phone:954-734-4708
Mailing Address - Fax:
Practice Address - Street 1:1100 W 49TH ST UNIT 6
Practice Address - Street 2:
Practice Address - City:HIALEAH
Practice Address - State:FL
Practice Address - Zip Code:33012-3323
Practice Address - Country:US
Practice Address - Phone:954-734-4708
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-03-31
Last Update Date:2023-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty