Healthcare Provider Details

I. General information

NPI: 1558842120
Provider Name (Legal Business Name): ABA SERVICES FOR CHILDREN INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/22/2018
Last Update Date: 08/22/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2 UNIVERSITY PLZ STE 100
HACKENSACK NJ
07601-6210
US

IV. Provider business mailing address

2 UNIVERSITY PLZ STE 100
HACKENSACK NJ
07601-6210
US

V. Phone/Fax

Practice location:
  • Phone: 201-953-4308
  • Fax: 866-817-8882
Mailing address:
  • Phone: 201-953-4308
  • Fax: 866-817-8882

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QM0855X
TaxonomyAdolescent and Children Mental Health Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number000087
License Number StateNY

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name: YVONNE J MCNAMEE
Title or Position: ADMINISTRATOR
Credential:
Phone: 201-953-4308