Healthcare Provider Details

I. General information

NPI: 1083421820
Provider Name (Legal Business Name): ABA UNLIMITED, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/16/2024
Last Update Date: 12/16/2024
Certification Date: 12/16/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

748 MORRIS TPKE STE 200
SHORT HILLS NJ
07078-2623
US

IV. Provider business mailing address

132 MOUNTAINVIEW RD
WARREN NJ
07059-5023
US

V. Phone/Fax

Practice location:
  • Phone: 973-921-0900
  • Fax:
Mailing address:
  • Phone: 347-853-2046
  • 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 Code103TH0100X
TaxonomyHealth Service Psychologist
License Number
License Number State

VIII. Authorized Official

Name: DR. ASHLEY APPLETON
Title or Position: OWNER
Credential: PSY.D
Phone: 347-853-2046