Healthcare Provider Details

I. General information

NPI: 1477489748
Provider Name (Legal Business Name): EARLY STAR ABA LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/23/2026
Last Update Date: 06/23/2026
Certification Date: 06/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1600 PERRINEVILLE RD STE 2
MONROE NJ
08831-4924
US

IV. Provider business mailing address

1600 PERRINEVILLE RD STE 2
MONROE NJ
08831-4924
US

V. Phone/Fax

Practice location:
  • Phone: 848-351-4450
  • Fax: 848-351-4455
Mailing address:
  • Phone: 848-351-4450
  • Fax: 848-351-4455

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: MRS. BHAMISHA PATEL
Title or Position: MANAGING MEMBER
Credential:
Phone: 848-351-4455