| 123 Aba, Llc | |
|
25 E Northfield Rd Suite B Livingston NJ 07039-4531 | |
| (201) 259-0817 | |
| Not Available |
| Full Name | 123 Aba, Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 25 E Northfield Rd, Livingston, New Jersey |
| Authorized Official Name and Position | Brianne Livelli (DIRECTOR/ BCBA) |
| Authorized Official Contact | 2012590817 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| 123 Aba, Llc 25 E Northfield Rd Suite B Livingston NJ 07039-4531 Ph: () - | 123 Aba, Llc 25 E Northfield Rd Suite B Livingston NJ 07039-4531 Ph: (201) 259-0817 |
| NPI Number | 1407112030 |
|---|---|
| Provider Enumeration Date | 04/09/2012 |
| Last Update Date | 01/23/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407112030 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | 1-08-4039 (New Jersey) | Primary |
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