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NPI Code Detail

MEDICARE: AVA BOXER BCBA

MEDICARE: AVA BOXER BCBA
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 Analyst1-25-86244NJ

General Provider Information

NPI Number : 1942151634
Entity Type Code : Individual
Provider Name (Legal Business Name) : AVA BOXER BCBA
Provider Business Mailing Address
First Line : 4 SEAMAN ST APT 2
Second Line :
City : MADISON
State : NJ
Zip : 07940-2234
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 300 BROADACRES DR STE 175
Second Line :
City : BLOOMFIELD
State : NJ
Zip : 07003-3165
Country : US
Telephone Number : 201-720-8600
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/07/2026
Last Update Date : 02/07/2026

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Directions to “ AVA BOXER BCBA” Practice Location

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