NPI 1639636962 · live from the CMS NPI Registry
Aba And Main
Behavior Analyst in Lawrence Township, NJ. National Provider Identifier 1639636962, active.
NPI record
| NPI | 1639636962 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Behavior Analyst 103K00000X |
| Practice location | 74 Irwin Pl, Lawrence Township, NJ 08648 |
| Practice phone | 908-268-8455 |
| Enumerated | February 22, 2019 |
| Last updated | September 30, 2019 |
| Authorized official | Alicia Waranis, Owner |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Behavior Analyst primary | 103K00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.