Organization · NPI-2

Abode Aba

Behavior Analyst · Charlotte, NC

NPI number1073359857
StatusActive
Last updated in NPPESMar 26, 2025

Details

NPI
1073359857
Entity type
Organization (NPI-2)
Legal business name
Abode Aba
Organization subpart
No
Enumeration date
Jul 2, 2024
Certification date
Mar 26, 2025
Last updated
Mar 26, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
103K00000X Behavior Analyst––Yes

Practice location

301 S Mcdowell St Ste 125-1027
Charlotte, NC 28204-2623

Phone 980-288-5692

Mailing address

301 S Mcdowell St Ste 125-1027
Charlotte, NC 28204-2623

Phone 980-288-5692

Authorized official

Sam Dickstein
Principle
9803601116

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