Wellformed AI

NPI 1124573340 · live from the CMS NPI Registry

Aba Support Services

Behavior Analyst in Lakewood, NJ. National Provider Identifier 1124573340, active.

NPI record

NPI1124573340 Type 2 · organization
StatusActive
Primary specialtyBehavior Analyst 103K00000X
Practice location1157 Robin Dr, Lakewood, NJ 08701
Practice phone917-693-1075
EnumeratedAugust 17, 2016
Last updatedAugust 17, 2016
Authorized officialFaigie Schiff, Owner

Taxonomies and licenses

TaxonomyCodeLicense
Physical Therapist225100000X—
Occupational Therapist225X00000X—
Speech-Language Pathologist, 235Z00000X—
Behavior Analyst primary103K00000X—

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.