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Team Aba LLC

Community/Behavioral Health in Laurel, MD. Organization (NPI-2).

NPI number1629559232
StatusActive
Last updated in NPPESOct 4, 2024

Details

NPI
1629559232
Entity type
Organization (NPI-2)
Legal business name
Team Aba LLC
Organization subpart
No
Enumeration date
Aug 22, 2018
Certification date
Oct 2, 2024
Last updated
Oct 4, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
251S00000X Community/Behavioral Health––Yes
103K00000X Behavior Analyst––
251B00000X Case Management––
251C00000X Day Training, Developmentally Disabled Services––
251E00000X Home Health––
261QD1600X Clinic/Center, Developmental Disabilities––
305S00000X Point of Service––
385HR2060X Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child––

Practice location

8461 Winding Trl
Laurel, MD 20724-1435

Phone 301-219-8190

Mailing address

8461 Winding Trl
Laurel, MD 20724-1435

Phone 301-219-8190

Authorized official

Beverly Kirby
Ceo
3012198190

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