Healthcare Provider Details
I. General information
NPI: 1427912898
Provider Name (Legal Business Name): ADVENTURING BEHAVIORAL SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 12/10/2025
Last Update Date: 12/10/2025
Certification Date: 12/10/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
40 S FULLERTON AVE
MONTCLAIR NJ
07042-3357
US
IV. Provider business mailing address
199 HILLSIDE AVE FL 1
GLEN RIDGE NJ
07028-2319
US
V. Phone/Fax
- Phone: 973-744-4856
- Fax:
- Phone: 201-341-7915
- 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: MR.
GREGORY
E
REISMAN
Title or Position: BOARD CERTIFIED BEHAVIOR ANALYST
Credential: M.ED, BCBA
Phone: 201-341-7915