Healthcare Provider Details

I. General information

NPI: 1790608032
Provider Name (Legal Business Name): AOB BEHAVIORAL HEALTH HOLDING, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/03/2026
Last Update Date: 08/03/2026
Certification Date: 08/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

600C LAKE ST
RAMSEY NJ
07446-1360
US

IV. Provider business mailing address

600C LAKE ST
RAMSEY NJ
07446-1360
US

V. Phone/Fax

Practice location:
  • Phone: 551-252-2457
  • Fax: 201-648-2172
Mailing address:
  • Phone: 551-252-2457
  • Fax: 201-648-2172

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: MR. ADAM GORDON O'BRIEN
Title or Position: OWNER
Credential: MS, APN
Phone: 551-252-2457