Healthcare Provider Details

I. General information

NPI: 1245038173
Provider Name (Legal Business Name): YES ABA NM LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/05/2025
Last Update Date: 12/03/2025
Certification Date: 12/03/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

500 MARQUETTE AVE NW
ALBUQUERQUE NM
87102-5340
US

IV. Provider business mailing address

PO BOX 995
LAKEWOOD NJ
08701-0995
US

V. Phone/Fax

Practice location:
  • Phone: 347-699-2092
  • Fax:
Mailing address:
  • Phone: 347-699-2092
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number State

VIII. Authorized Official

Name: MORDECHAI SZANZER
Title or Position: MANAGER
Credential:
Phone: 347-699-2092