ABA RESIDENTIAL


Address: 7 Cooper Ave Suit A, Marlton, NJ 08053
Phone: 8563236773

ABA RESIDENTIAL (NPI# 1780216952) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1780216952
Entity Type Organization
Organization Name ABA RESIDENTIAL
Practice Address 7 Cooper Ave Suit A
Marlton
NJ 08053
Practice Telephone 8563236773
Enumeration Date 2020-02-06
Last Update Date 2020-02-06
Authorized Official Name MICHAEL IEZZI (MEMBER)
Authorized Official Telephone 8563236773
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103TA0700X Psychologist
Specialization: Adult Development & Aging
Behavioral Health & Social Service Providers

Other Data Sources

Entity Type Entity Name Entity Address
New York State Corporations ABA RESIDENTIAL PROPERTIES, LLC 232 Madison Avenue, Suite 1200, New York, Ny 10016

Office Location

Street Address 7 COOPER AVE SUIT A
City MARLTON
State NJ
Zip Code 08053

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Taxonomy Information

Taxonomy Code 103TA0700X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization Adult Development & Aging

Taxonomy Definition

Definition to come...

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Competitor

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City MARLTON
Zip Code 08053

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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