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NPI Code Detail

MEDICARE: ADMIRE ABA IN LLC

MEDICARE: ADMIRE ABA IN 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
1103K00000XBehavior Analyst

General Provider Information

NPI Number : 1396618922
Entity Type Code : Organization
Provider Name (Legal Business Name) : ADMIRE ABA IN LLC
Provider Business Mailing Address
First Line : 165 OLD ORCHARD RD
Second Line :
City : TOMS RIVER
State : NJ
Zip : 08755-1730
Country : US
Telephone Number : 908-307-5455
Fax Number :
Provider Business Practice Location Address
First Line : 155 E MARKET ST
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46204-3294
Country : US
Telephone Number : 908-307-5455
Fax Number :
Authorized Official
Title or Position : OWNER
Name : MR. DOV WEINTRAUB
Credential :
Telephone Number : 908-307-5455
Provider Enumeration Date : 09/29/2025
Last Update Date : 10/29/2025

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Directions to “ADMIRE ABA IN LLC ” Practice Location

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