Healthcare Provider Details

I. General information

NPI: 1285475467
Provider Name (Legal Business Name): SILVERSWING ABA NE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/03/2024
Last Update Date: 05/29/2026
Certification Date: 05/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1408 FORT CROOK RD S
BELLEVUE NE
68005-3061
US

IV. Provider business mailing address

4 FRANKLIN PL SUITE 108
WOODMERE NY
11598-1265
US

V. Phone/Fax

Practice location:
  • Phone: 732-783-4428
  • 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
# 2
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: YOSEF MOSKOWITZ
Title or Position: DIRECTOR
Credential:
Phone: 732-783-4428