Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mountain State Applied Behavior Analysis LLC

Organization Behavior Analyst · NPI 1093250060

Mountain State Applied Behavior Analysis LLC is a Behavior Analyst in Martinsburg, West Virginia. Licensed in West Virginia. Registered with an NPI since 2016.

Licensed in
WV
In the registry since
2016
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1010 Winchester Ave
Martinsburg, WV 25401-1683
Phone: (304) 290-4262
Fax: (304) 212-0627
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Behavior Analyst (primary) Taxonomy 103K00000X · Licence 1-14-16309 (WV)

Record details

NPI number1093250060
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Ezra Hall — Owner · (304) 290-4262
Other names Mountain State Aba; Mountain State Aba
NPI enumeratedDecember 30, 2016
Last updated in NPPESJanuary 4, 2022
Certification dateJanuary 4, 2022
Mailing addressPo Box 442, Shepherdstown, WV 25443-0442

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