Healthcare Provider Details

I. General information

NPI: 1598691677
Provider Name (Legal Business Name): GALAXY ABA MD LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/18/2026
Last Update Date: 06/18/2026
Certification Date: 06/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7315 WISCONSIN AVE STE 400W-130
BETHESDA MD
20814-3202
US

IV. Provider business mailing address

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

V. Phone/Fax

Practice location:
  • Phone: 804-223-8088
  • Fax:
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: ANDREW MARMORSTEIN
Title or Position: DIRECTOR OF OPERATIONS
Credential:
Phone: 631-691-9078