Healthcare Provider Details

I. General information

NPI: 1285174334
Provider Name (Legal Business Name): MOVING MOUNTAINS ABA LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/07/2017
Last Update Date: 07/29/2024
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

224 W STIGER ST.
HACKETTSTOWN NJ
07840
US

IV. Provider business mailing address

514 W MOORE ST
HACKETTSTOWN NJ
07840-2144
US

V. Phone/Fax

Practice location:
  • Phone: 908-798-2085
  • Fax: 908-864-0090
Mailing address:
  • Phone: 908-798-2085
  • Fax: 908-864-0090

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: MRS. CARLY KEHLER
Title or Position: OWNER
Credential: BCBA
Phone: 908-798-2085