Healthcare Provider Details
I. General information
NPI: 1104611425
Provider Name (Legal Business Name): CONNECT N CARE ABA IA LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 04/09/2025
Last Update Date: 04/27/2026
Certification Date: 04/27/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
6611 UNIVERSITY AVE STE 200-180
WINDSOR HEIGHTS IA
50324-1655
US
IV. Provider business mailing address
1072 MADISON AVE STE 625
LAKEWOOD NJ
08701-2650
US
V. Phone/Fax
- Phone: 877-262-2221
- Fax:
- Phone: 877-262-2221
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 103K00000X |
| Taxonomy | Behavior Analyst |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 103T00000X |
| Taxonomy | Psychologist |
| License Number | |
| License Number State | |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 251S00000X |
| Taxonomy | Community/Behavioral Health Agency |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
FAYGE
ORZEL
Title or Position: CHIEF CLINICAL DIRECTOR
Credential: BCBA
Phone: 704-412-1132