Healthcare Provider Details
I. General information
NPI: 1609737071
Provider Name (Legal Business Name): HEARTLINKS ABA MD LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 11/24/2025
Last Update Date: 11/24/2025
Certification Date: 11/24/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
10230 NEW HAMPSHIRE AVE STE 100
SILVER SPRING MD
20903-1422
US
IV. Provider business mailing address
1965 SWARTHMORE AVE STE 300
LAKEWOOD NJ
08701-4907
US
V. Phone/Fax
- Phone: 888-755-4657
- Fax: 732-612-1166
- Phone: 888-755-4657
- Fax: 732-612-1166
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 | 106E00000X |
| Taxonomy | Assistant Behavior Analyst |
| License Number | |
| License Number State | |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 106S00000X |
| Taxonomy | Behavior Technician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
AVRAHAM
JURKANSKI
Title or Position: DIRECTOR
Credential:
Phone: 888-755-4657