Healthcare Provider Details
I. General information
NPI: 1619757259
Provider Name (Legal Business Name): EVERY DAY ABA, LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 10/02/2023
Last Update Date: 10/02/2023
Certification Date: 10/02/2023
Deactivation Date:
Reactivation Date:
III. Provider practice location address
377 PLAINFIELD AVE
RAHWAY NJ
07065-2424
US
IV. Provider business mailing address
377 PLAINFIELD AVE
RAHWAY NJ
07065-2424
US
V. Phone/Fax
- Phone: 908-472-8972
- Fax:
- Phone: 908-472-8972
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 103K00000X |
| Taxonomy | Behavior Analyst |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 106E00000X |
| Taxonomy | Assistant Behavior Analyst |
| License Number | |
| License Number State | |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 106S00000X |
| Taxonomy | Behavior Technician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
SHANNON
O'REGAN
Title or Position: FOUNDER/CLINICAL DIRECTOR
Credential:
Phone: 908-472-8972