Healthcare Provider Details

I. General information

NPI: 1003731183
Provider Name (Legal Business Name): GALAXY ABA DE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/10/2026
Last Update Date: 08/10/2026
Certification Date: 08/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

800 N KING ST STE 304-1265
WILMINGTON DE
19801-3550
US

IV. Provider business mailing address

100 MATAWAN RD STE 325-1128
MATAWAN NJ
07747-3911
US

V. Phone/Fax

Practice location:
  • Phone: 631-691-9078
  • Fax:
Mailing address:
  • Phone: 631-691-9078
  • 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: ANDREW MARMORSTEIN
Title or Position: DIRECTOR
Credential:
Phone: 631-691-9078