=====================================================
General NPI Number Information
=====================================================
NPI Number | 1609737071
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | HEARTLINKS ABA MD LLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 11/24/2025
-----------------------------------------------------
Last Update Date | 11/24/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 10230 NEW HAMPSHIRE AVE STE 100
-----------------------------------------------------
City | SILVER SPRING
-----------------------------------------------------
State | MD
-----------------------------------------------------
Zip | 20903-1422
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 888-755-4657
-----------------------------------------------------
Fax | 732-612-1166
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 1965 SWARTHMORE AVE STE 300
-----------------------------------------------------
City | LAKEWOOD
-----------------------------------------------------
State | NJ
-----------------------------------------------------
Zip | 08701-4907
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 888-755-4657
-----------------------------------------------------
Fax | 732-612-1166
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | DIRECTOR
-----------------------------------------------------
Name | AVRAHAM JURKANSKI
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 888-755-4657
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 106E00000X
-----------------------------------------------------
Taxonomy Name | Assistant Behavior Analyst
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
Taxonomy Code | 106S00000X
-----------------------------------------------------
Taxonomy Name | Behavior Technician
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------
Taxonomy #3
-----------------------------------------------------
Taxonomy Code | 103K00000X
-----------------------------------------------------
Taxonomy Name | Behavior Analyst
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------