Healthcare Provider Details

I. General information

NPI: 1497567739
Provider Name (Legal Business Name): POPS ABA NC LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/23/2025
Last Update Date: 01/05/2026
Certification Date: 01/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5000 CENTRE GREEN WAY
CARY NC
27513-5817
US

IV. Provider business mailing address

340 MAIN AVE
CLIFTON NJ
07014-1328
US

V. Phone/Fax

Practice location:
  • Phone: 973-365-1444
  • Fax:
Mailing address:
  • Phone: 973-365-1444
  • Fax: 551-400-9252

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: DINAH LEITER
Title or Position: PRESIDENT
Credential: OTR
Phone: 973-931-2731