Wellformed AI

NPI 1881476646 · live from the CMS NPI Registry

Aba Magical Moments Az LLC

Behavior Analyst in Goodyear, AZ. National Provider Identifier 1881476646, active.

NPI record

NPI1881476646 Type 2 · organization
StatusActive
Primary specialtyBehavior Analyst 103K00000X
Practice location15150 W Park Pl Fl 2, Goodyear, AZ 85395
Practice phone928-224-2610
Mailing address300 Tice Blvd Ste 165, Woodcliff Lake, NJ 07677
EnumeratedOctober 17, 2023
Last updatedMay 27, 2026
Authorized officialJacob Klein, Owner

Taxonomies and licenses

TaxonomyCodeLicense
Behavior Analyst primary103K00000X—

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