Healthcare Provider Details
I. General information
NPI: 1093631061
Provider Name (Legal Business Name): GOLD STANDARD ABA NM LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 06/25/2026
Last Update Date: 06/25/2026
Certification Date: 06/03/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
4801 LANG AVE NE
ALBUQUERQUE NM
87109-4475
US
IV. Provider business mailing address
229 ROUTE 70 STE 100
TOMS RIVER NJ
08755-1026
US
V. Phone/Fax
- Phone: 857-327-5283
- Fax:
- Phone: 857-327-5283
- Fax:
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:
CHAIM
Y
KAUFMAN
Title or Position: CEO
Credential:
Phone: 857-327-5283