MEDICARE: GALAXY ABA MD 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
1	103K00000X	Behavior Analyst

General Provider Information

NPI Number	:	1598691677
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GALAXY ABA MD LLC

Provider Business Mailing Address
First Line	:	100 MATAWAN RD STE 325-1128
Second Line	:
City	:	MATAWAN
State	:	NJ
Zip	:	07747-3911
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	7315 WISCONSIN AVE STE 400W-130
Second Line	:
City	:	BETHESDA
State	:	MD
Zip	:	20814-3202
Country	:	US
Telephone Number	:	804-223-8088
Fax Number	:

Authorized Official
Title or Position	:	DIRECTOR OF OPERATIONS
Name	:	ANDREW MARMORSTEIN
Credential	:
Telephone Number	:	631-691-9078

Provider Enumeration Date	:	06/18/2026
Last Update Date	:	06/18/2026

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