Healthcare Provider Details

I. General information

NPI: 1164136164
Provider Name (Legal Business Name): APEX ABA THERAPY NM LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/13/2023
Last Update Date: 06/17/2025
Certification Date: 06/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

500 MARQUETTE AVE NW
ALBUQUERQUE NM
87102-5340
US

IV. Provider business mailing address

1500 AVENUE OF THE STATES STE 400
LAKEWOOD NJ
08701-4792
US

V. Phone/Fax

Practice location:
  • Phone: 888-690-0663
  • Fax:
Mailing address:
  • Phone: 845-642-2112
  • 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 Code106S00000X
TaxonomyBehavior Technician
License Number
License Number State

VIII. Authorized Official

Name: SHIMON EHRMAN
Title or Position: MANAGING MEMBER
Credential:
Phone: 845-642-2112