Healthcare Provider Details

I. General information

NPI: 1932026903
Provider Name (Legal Business Name): HEARTLINKS ABA VA LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/01/2026
Last Update Date: 07/01/2026
Certification Date: 07/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

280 VIRGINIA AVE NE STE 103D
NORTON VA
24273-1539
US

IV. Provider business mailing address

45 RADIANT HL
LAKEWOOD NJ
08701-4988
US

V. Phone/Fax

Practice location:
  • Phone: 888-755-4657
  • Fax:
Mailing address:
  • Phone: 732-966-4923
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number State

VIII. Authorized Official

Name: AVRAHAM JURKANSKI
Title or Position: MANAGER
Credential:
Phone: 888-755-4657