Healthcare Provider Details

I. General information

NPI: 1881913473
Provider Name (Legal Business Name): IRA RINN M.A., BCBA
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/23/2010
Last Update Date: 09/01/2026
Certification Date: 09/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

17 PLATT AVE
SADDLE BROOK NJ
07663-4713
US

IV. Provider business mailing address

17 PLATT AVE
SADDLE BROOK NJ
07663-4713
US

V. Phone/Fax

Practice location:
  • Phone: 201-605-6727
  • Fax: 201-605-6727
Mailing address:
  • Phone: 201-605-6727
  • Fax: 201-605-6727

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number1-09-6535
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: