Wellformed AI

NPI 1982486700 · live from the CMS NPI Registry

A Cedar Tree Aba LLC

Behavior Analyst in Lakewood, NJ. National Provider Identifier 1982486700, active.

NPI record

NPI1982486700 Type 2 · organization
StatusActive
Primary specialtyBehavior Analyst 103K00000X
Practice location301 Madison Ave, Lakewood, NJ 08701
Practice phone770-742-9171
EnumeratedOctober 17, 2023
Last updatedSeptember 6, 2026
Authorized officialM T, Authorized

Taxonomies and licenses

TaxonomyCodeLicense
Behavior Analyst primary103K00000X—
Behavior Technician106S00000X—
Day Training, Developmentally Disabled Services251C00000X—
Community/Behavioral Health251S00000X—
Clinic/Center, Multi-Specialty261QM1300X—

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