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Contact Information

AMIGO CARE ABA LLC
17145 MOSS SIDE LN
OLNEY, MD20832-2935
 Phone: 240-918-2363
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Behavior Analyst

103K00000X
Indicates primary specialty

NPI Profile & details for AMIGO CARE ABA LLC

NPI # 1134895485
LBN Legal business name AMIGO CARE ABA LLC
Authorized official ALEXANDER AREVALO - (CHIEF EXECUTIVE OFFICER)
Entity Organization
Organization subpart 1 No
Enumeration date 08/17/2021
Last updated 08/15/2025 - About 10 months ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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