Healthcare Provider Details
I. General information
NPI: 1194538256
Provider Name (Legal Business Name): THRIVE ABA FAMILY SOLUTIONS
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 01/30/2025
Last Update Date: 01/30/2025
Certification Date: 01/30/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1660 VALLEY VIEW RD
MARTINSVILLE NJ
08836-2119
US
IV. Provider business mailing address
1660 VALLEY VIEW RD
MARTINSVILLE NJ
08836-2119
US
V. Phone/Fax
- Phone: 908-418-7338
- Fax:
- Phone: 908-418-7338
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 103K00000X |
| Taxonomy | Behavior Analyst |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
JENNIFER
M
PACHECO
Title or Position: BCBA
Credential:
Phone: 908-418-7338