MEDICARE: ABUNDANCE BEHAVIORAL

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	:	1679434724
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ABUNDANCE BEHAVIORAL

Provider Business Mailing Address
First Line	:	50 DIVISION ST STE 501
Second Line	:
City	:	SOMERVILLE
State	:	NJ
Zip	:	08876-2944
Country	:	US
Telephone Number	:	201-688-3608
Fax Number	:

Provider Business Practice Location Address
First Line	:	50 DIVISION ST STE 27
Second Line	:
City	:	SOMERVILLE
State	:	NJ
Zip	:	08876-2943
Country	:	US
Telephone Number	:	413-345-8355
Fax Number	:

Authorized Official
Title or Position	:	BCBA
Name	:	MR. YASIN SAYED CRUZ
Credential	:	M.S.
Telephone Number	:	201-688-3608

Provider Enumeration Date	:	11/19/2025
Last Update Date	:	04/16/2026

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