Healthcare Provider Details

I. General information

NPI: 1871456574
Provider Name (Legal Business Name): BRAIN TRAINING ASSOCIATES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/08/2025
Last Update Date: 12/08/2025
Certification Date: 12/08/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

300 KNICKERBOCKER RD STE 1200
CRESSKILL NJ
07626-1343
US

IV. Provider business mailing address

300 KNICKERBOCKER RD STE 1200
CRESSKILL NJ
07626-1343
US

V. Phone/Fax

Practice location:
  • Phone: 201-468-1032
  • Fax: 201-528-6556
Mailing address:
  • Phone: 201-468-1032
  • Fax: 201-528-6556

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225C00000X
TaxonomyRehabilitation Counselor
License Number
License Number State

VIII. Authorized Official

Name: DR. ELSIE A ROSA
Title or Position: OWNER/EXECUTIVE DIRECTOR
Credential: PHD
Phone: 201-468-1032