=====================================================
General NPI Number Information
=====================================================
NPI Number | 1750091724
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | ABA CENTERS OF NEW JERSEY LLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 12/01/2022
-----------------------------------------------------
Last Update Date | 09/30/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 1150 RTE 22 STE 110
-----------------------------------------------------
City | BRIDGEWATER
-----------------------------------------------------
State | NJ
-----------------------------------------------------
Zip | 08807-2966
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 561-323-6582
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 542 AMHERST ST STE B
-----------------------------------------------------
City | NASHUA
-----------------------------------------------------
State | NH
-----------------------------------------------------
Zip | 03063-1016
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 855-959-4222
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | VP OF OPERATIONS
-----------------------------------------------------
Name | KIMBERLEY ESQUIVEL
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 728-223-1535
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 103K00000X
-----------------------------------------------------
Taxonomy Name | Behavior Analyst
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------