| Aba With Tlc | |
|
43 W Front St Ste 17 Red Bank NJ 07701-1600 | |
| (732) 784-7501 | |
| (732) 383-5844 |
| Full Name | Aba With Tlc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 43 W Front St Ste 17, Red Bank, New Jersey |
| Authorized Official Name and Position | Anna Nicolas (OWNER) |
| Authorized Official Contact | 7326872418 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Aba With Tlc 54 Broad St # L-102 Red Bank NJ 07701-1943 Ph: (732) 687-2418 | Aba With Tlc 43 W Front St Ste 17 Red Bank NJ 07701-1600 Ph: (732) 784-7501 |
| NPI Number | 1508179763 |
|---|---|
| Provider Enumeration Date | 07/16/2010 |
| Last Update Date | 04/04/2023 |
| Certification Date | 04/04/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508179763 | NPI | - | NPPES |
| 0400352192 | Other | NJ | STATE OF NEW JERSEY DEPT. OF THE TREASURY CERTIFICATION |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | 0400352192 (New Jersey) | Primary |
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