Healthcare Provider Details

I. General information

NPI: 1275400202
Provider Name (Legal Business Name): CLEARSTEPS ABA NJ LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/23/2025
Last Update Date: 06/14/2026
Certification Date: 06/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

165 PASSAIC AVE
FAIRFIELD NJ
07004-3521
US

IV. Provider business mailing address

165 PASSAIC AVE STE 205
FAIRFIELD NJ
07004-3526
US

V. Phone/Fax

Practice location:
  • Phone: 631-229-6504
  • 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

VIII. Authorized Official

Name: AMRAM CARCIENTE
Title or Position: CO OWNER
Credential:
Phone: 631-229-6504