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Contact Information

ILLUMINATE ABA SERVICES LLC
2733 A EAST 12TH STREET
BROOKLYN, NY11235
 Phone: 334-558-6228
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Behavior Analyst

103K00000X
 

Community/Behavioral Health

251S00000X
 

Speech-Language Pathologist

235Z00000X 15 Speech Language Pathologist
Indicates primary specialty

NPI Profile & details for ILLUMINATE ABA SERVICES LLC

NPI # 1457926560
LBN Legal business name ILLUMINATE ABA SERVICES LLC
Authorized official ALEESHA PERKINS - (DIRECTOR OF CREDENTIALING)
Entity Organization
Organization subpart 1 No
Enumeration date 05/21/2021
Last updated 04/02/2026 - About 2 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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