NPI Code Details Logo

NPI 1659261873

NPI 1659261873 : YES ABA NJ LLC : VOORHEES, NJ

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1659261873
-----------------------------------------------------
    Entity Type          |    Organization 
-----------------------------------------------------
    Legal Business Name  |    YES ABA NJ LLC 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    07/08/2025
-----------------------------------------------------
    Last Update Date     |    07/08/2025
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    1099 WHITE HORSE RD FL 2 
-----------------------------------------------------
    City                 |    VOORHEES
-----------------------------------------------------
    State                |    NJ
-----------------------------------------------------
    Zip                  |    08043-4405
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    347-699-2092
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    PO BOX 995 
-----------------------------------------------------
    City                 |    LAKEWOOD
-----------------------------------------------------
    State                |    NJ
-----------------------------------------------------
    Zip                  |    08701-0995
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    MANAGER
-----------------------------------------------------
    Name                 |     MORDECHAI  SZANZER 
-----------------------------------------------------
    Credential           |    
-----------------------------------------------------
    Telephone            |    347-699-2092
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    103K00000X
-----------------------------------------------------
    Taxonomy Name        |    Behavior Analyst
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------



                        

Copyright © 2007-2025 Data Labs Health. All rights reserved.