Healthcare Provider Details

I. General information

NPI: 1336065887
Provider Name (Legal Business Name): ABACUS EARLY INTERVENTION SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/29/2026
Last Update Date: 06/29/2026
Certification Date: 06/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

21 SARAZEN DR UNIT 102
CLAYTON NC
27527-5820
US

IV. Provider business mailing address

3064 WAKE FOREST RD # 1128
RALEIGH NC
27609-7844
US

V. Phone/Fax

Practice location:
  • Phone: 973-508-4183
  • Fax:
Mailing address:
  • Phone: 973-508-4183
  • 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: RICHARD CROSS
Title or Position: CLINICAL DIRECTOR
Credential: BCBA, LBA
Phone: 973-508-4183