MEDICARE: FRIENDLY CARE ABA SERVICES LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103K00000X	Behavior Analyst

General Provider Information

NPI Number	:	1588596472
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FRIENDLY CARE ABA SERVICES LLC

Provider Business Mailing Address
First Line	:	14 OLYMPIC CIR
Second Line	:
City	:	LAKEWOOD
State	:	NJ
Zip	:	08701-5005
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	14 OLYMPIC CIR
Second Line	:
City	:	LAKEWOOD
State	:	NJ
Zip	:	08701-5005
Country	:	US
Telephone Number	:	336-704-3360
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	BLUMA WOOLF
Credential	:
Telephone Number	:	336-704-3360

Provider Enumeration Date	:	06/02/2026
Last Update Date	:	06/08/2026

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