Healthcare Provider Details

I. General information

NPI: 1659922052
Provider Name (Legal Business Name): PAULA MAYER BCABA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/26/2019
Last Update Date: 08/14/2025
Certification Date: 08/14/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

409 GLENN AVE
EGG HARBOR TOWNSHIP NJ
08234-6109
US

IV. Provider business mailing address

712 BLUEBIRD CIR
MAYS LANDING NJ
08330-5611
US

V. Phone/Fax

Practice location:
  • Phone: 609-218-8664
  • Fax: 609-939-0605
Mailing address:
  • Phone: 609-369-9905
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code106E00000X
TaxonomyAssistant Behavior Analyst
License Number15BA00001200
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: