Healthcare Provider Details

I. General information

NPI: 1699681973
Provider Name (Legal Business Name): ABA UP AND UP CT LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/19/2026
Last Update Date: 08/19/2026
Certification Date: 08/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2389 MAIN ST STE 100
GLASTONBURY CT
06033-4617
US

IV. Provider business mailing address

1 KITAY CT
JACKSON NJ
08527-3957
US

V. Phone/Fax

Practice location:
  • Phone: 505-963-6159
  • Fax: 505-963-6159
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number State

VIII. Authorized Official

Name: TUVIA KORN KORN
Title or Position: CEO
Credential:
Phone: 505-963-6159