Provider Demographics
NPI:1871067835
Name:THE DOZEN ABA LLC
Entity type:Organization
Organization Name:THE DOZEN ABA LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BCBA-D
Authorized Official - Prefix:DR
Authorized Official - First Name:DERIC
Authorized Official - Middle Name:
Authorized Official - Last Name:TONEY
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:775-453-8167
Mailing Address - Street 1:1000 STATION DR STE 205
Mailing Address - Street 2:
Mailing Address - City:DUPONT
Mailing Address - State:WA
Mailing Address - Zip Code:98327-8727
Mailing Address - Country:US
Mailing Address - Phone:775-453-8167
Mailing Address - Fax:253-353-7991
Practice Address - Street 1:1000 STATION DR STE 205
Practice Address - Street 2:
Practice Address - City:DUPONT
Practice Address - State:WA
Practice Address - Zip Code:98327-8727
Practice Address - Country:US
Practice Address - Phone:775-453-8167
Practice Address - Fax:253-353-7991
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-01-13
Last Update Date:2023-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251S00000XAgenciesCommunity/Behavioral HealthGroup - Single Specialty
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty