Healthcare Provider Details

I. General information

NPI: 1558288696
Provider Name (Legal Business Name): PROGRESS ABA INSTITUTE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/30/2026
Last Update Date: 06/30/2026
Certification Date: 06/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

90 PROSPECT AVE
HACKENSACK NJ
07601-1909
US

IV. Provider business mailing address

20-18 HALSTEAD TER
FAIR LAWN NJ
07410-4539
US

V. Phone/Fax

Practice location:
  • Phone: 914-490-3891
  • 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: KOKO ABSOLAM
Title or Position: CLINICAL DIRECTOR/LEAD BCBA
Credential: BCBA, MS, LBA
Phone: 702-591-5696