=====================================================
General NPI Number Information
=====================================================
NPI Number | 1164158473
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | JUMP START ABA LLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 07/28/2022
-----------------------------------------------------
Last Update Date | 01/08/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 199 COLONIAL DR
-----------------------------------------------------
City | LAKEWOOD
-----------------------------------------------------
State | NJ
-----------------------------------------------------
Zip | 08701-5851
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 732-941-5867
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 1329 5TH AVE
-----------------------------------------------------
City | TOMS RIVER
-----------------------------------------------------
State | NJ
-----------------------------------------------------
Zip | 08757-2715
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 732-941-5867
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWNER
-----------------------------------------------------
Name | MIRIAM RACHEL MONHEIT
-----------------------------------------------------
Credential | BCBA
-----------------------------------------------------
Telephone | 347-913-2879
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 251S00000X
-----------------------------------------------------
Taxonomy Name | Community/Behavioral Health Agency
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------