Healthcare Provider Details
I. General information
NPI: 1992657977
Provider Name (Legal Business Name): TOP PENGUIN ABA LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 02/11/2026
Last Update Date: 06/04/2026
Certification Date: 06/04/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1200 MORRIS TPKE STE 3005
SHORT HILLS NJ
07078-2766
US
IV. Provider business mailing address
1200 MORRIS TPKE STE 3005
SHORT HILLS NJ
07078-2766
US
V. Phone/Fax
- Phone: 551-201-1222
- Fax: 844-454-1672
- Phone: 551-201-1222
- Fax: 844-454-1672
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 103K00000X |
| Taxonomy | Behavior Analyst |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
JOSEPH
EDELKOPF
Title or Position: OWNER
Credential:
Phone: 845-596-2077