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NPI Code Detail

MEDICARE: ATTAIN ABA WEST LLC

MEDICARE: ATTAIN ABA WEST 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 : 1598313991
Entity Type Code : Organization
Provider Name (Legal Business Name) : ATTAIN ABA WEST LLC
Provider Business Mailing Address
First Line : 850 TOWBIN AVE
Second Line :
City : LAKEWOOD
State : NJ
Zip : 08701-5928
Country : US
Telephone Number : 732-886-6202
Fax Number : 732-797-9303
Provider Business Practice Location Address
First Line : 850 TOWBIN AVE
Second Line :
City : LAKEWOOD
State : NJ
Zip : 08701-5928
Country : US
Telephone Number : 732-886-6202
Fax Number : 732-797-9303
Authorized Official
Title or Position : MEMBER
Name : MR. ELIEZER FRIEDMAN
Credential :
Telephone Number : 732-886-6202
Provider Enumeration Date : 08/28/2019
Last Update Date : 11/26/2025

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Directions to “ATTAIN ABA WEST LLC ” Practice Location

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