Provider Demographics
NPI:1891588810
Name:BIG HEARTS ABA LLC
Entity type:Organization
Organization Name:BIG HEARTS ABA LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BCABA/CEO
Authorized Official - Prefix:
Authorized Official - First Name:LESLIE
Authorized Official - Middle Name:LASHAE
Authorized Official - Last Name:JOHNSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:765-716-6534
Mailing Address - Street 1:1811 W ROYALE DR APT 1B
Mailing Address - Street 2:
Mailing Address - City:MUNCIE
Mailing Address - State:IN
Mailing Address - Zip Code:47304-2279
Mailing Address - Country:US
Mailing Address - Phone:765-716-6534
Mailing Address - Fax:219-247-4154
Practice Address - Street 1:1811 W ROYALE DR APT 1B
Practice Address - Street 2:
Practice Address - City:MUNCIE
Practice Address - State:IN
Practice Address - Zip Code:47304-2279
Practice Address - Country:US
Practice Address - Phone:765-716-6534
Practice Address - Fax:219-247-4154
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-05-22
Last Update Date:2025-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106E00000XBehavioral Health & Social Service ProvidersAssistant Behavior AnalystGroup - Single Specialty