Healthcare Provider Details

I. General information

NPI: 1053003491
Provider Name (Legal Business Name): FEEDFIRST ABA SOLUTIONS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/24/2023
Last Update Date: 05/24/2023
Certification Date: 05/24/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

222 FRENCH ST
HAMMONTON NJ
08037-1726
US

IV. Provider business mailing address

222 FRENCH ST
HAMMONTON NJ
08037-1726
US

V. Phone/Fax

Practice location:
  • Phone: 908-520-5312
  • Fax:
Mailing address:
  • Phone: 908-520-5312
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code251C00000X
TaxonomyDevelopmentally Disabled Services Day Training Agency
License Number
License Number State

VIII. Authorized Official

Name: BRITTANY J MARTINO
Title or Position: OWNER
Credential: M.ED., BCBA
Phone: 908-520-5312