Healthcare Provider Details

I. General information

NPI: 1568316263
Provider Name (Legal Business Name): ABA THERAPY CENTRAL JERSEY CORP.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/21/2026
Last Update Date: 02/21/2026
Certification Date: 02/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

23 SUPRA CT
PRINCETON NJ
08540-6525
US

IV. Provider business mailing address

23 SUPRA CT
PRINCETON NJ
08540-6525
US

V. Phone/Fax

Practice location:
  • Phone: 814-883-7401
  • Fax:
Mailing address:
  • Phone: 814-883-7401
  • 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 Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code261QH0700X
TaxonomyHearing and Speech Clinic/Center
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code261QX0100X
TaxonomyOccupational Medicine Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MR. RIZWAN UL HAQUE
Title or Position: VICE PRESIDENT
Credential:
Phone: 814-883-7401