Healthcare Provider Details

I. General information

NPI: 1609711803
Provider Name (Legal Business Name): ABA LIFE CENTER ADULT SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/22/2026
Last Update Date: 04/29/2026
Certification Date: 04/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

30A VREELAND RD STE 230B
FLORHAM PARK NJ
07932-1924
US

IV. Provider business mailing address

30A VREELAND RD STE 230B
FLORHAM PARK NJ
07932-1924
US

V. Phone/Fax

Practice location:
  • Phone: 908-353-9553
  • Fax:
Mailing address:
  • Phone: 908-353-9553
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251C00000X
TaxonomyDevelopmentally Disabled Services Day Training Agency
License Number
License Number State

VIII. Authorized Official

Name: MICHELE I COOPER
Title or Position: EXECUTIVE DIRECTOR
Credential:
Phone: 908-353-9553