Healthcare Provider Details

I. General information

NPI: 1043134729
Provider Name (Legal Business Name): CLEAR HORIZON ABA PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/06/2026
Last Update Date: 08/06/2026
Certification Date: 08/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

386 ROUTE 59 STE 101
AIRMONT NY
10952-3428
US

IV. Provider business mailing address

70 PATRICIA PL
CLIFTON NJ
07012-1850
US

V. Phone/Fax

Practice location:
  • Phone: 646-894-4814
  • 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

VIII. Authorized Official

Name: JONATHAN ROTHENBERG
Title or Position: OWNER
Credential:
Phone: 646-894-4814