Healthcare Provider Details

I. General information

NPI: 1912828997
Provider Name (Legal Business Name): OUT THE BOX ABA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/23/2026
Last Update Date: 07/23/2026
Certification Date: 07/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1235 W CHESTNUT ST
UNION NJ
07083-6830
US

IV. Provider business mailing address

23 S PINE ST
FORDS NJ
08863-1841
US

V. Phone/Fax

Practice location:
  • Phone: 732-425-4980
  • Fax:
Mailing address:
  • Phone: 732-425-4980
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number State

VIII. Authorized Official

Name: KAYLA RODRIGUEZ
Title or Position: CO- FOUNDER
Credential: BCBA, LBA
Phone: 732-586-9802