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NPI Code Detail

MEDICARE: ADMIRE ABA NC LLC

MEDICARE: ADMIRE ABA NC LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1103T00000XPsychologist
2106E00000XAssistant Behavior Analyst
3106S00000XBehavior Technician
4103K00000XBehavior Analyst

General Provider Information

NPI Number : 1144182072
Entity Type Code : Organization
Provider Name (Legal Business Name) : ADMIRE ABA NC LLC
Provider Business Mailing Address
First Line : 18 SEA POINT DR
Second Line :
City : LAKEWOOD
State : NJ
Zip : 08701-4341
Country : US
Telephone Number : 732-930-3282
Fax Number :
Provider Business Practice Location Address
First Line : 4030 WAKE FOREST RD
Second Line :
City : RALEIGH
State : NC
Zip : 27609-0010
Country : US
Telephone Number : 732-930-3282
Fax Number :
Authorized Official
Title or Position : CEO
Name : RALPH MOLLER
Credential :
Telephone Number : 732-930-3282
Provider Enumeration Date : 12/01/2025
Last Update Date : 12/01/2025

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Directions to “ADMIRE ABA NC LLC ” Practice Location

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