Healthcare Provider Details

I. General information

NPI: 1851088066
Provider Name (Legal Business Name): MOUNT ABA NJ LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/18/2023
Last Update Date: 02/04/2025
Certification Date: 02/04/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2360 LAKEWOOD RD STE 2
TOMS RIVER NJ
08755-1929
US

IV. Provider business mailing address

4403 15TH AVE STE 499
BROOKLYN NY
11219-1604
US

V. Phone/Fax

Practice location:
  • Phone: 929-236-6849
  • Fax:
Mailing address:
  • Phone:
  • 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 Code261Q00000X
TaxonomyClinic/Center
License Number
License Number State

VIII. Authorized Official

Name: ZALMEN LOWY
Title or Position: CEO
Credential:
Phone: 929-236-6849