Individual provider · NPI-1
Timothy Ambat, BCBA
Behavior Analyst · Toms River, NJ
NPI number1386139533
StatusActive
Last updated in NPPESMay 17, 2024
Details
- NPI
- 1386139533
- Entity type
- Individual (NPI-1)
- Name
- Mr. Timothy Ambat
- Credential
- BCBA
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jun 28, 2018
- Certification date
- May 10, 2024
- Last updated
- May 17, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103K00000X | Behavior Analyst | 1-22-58917 | NJ | Yes |
| 106S00000X | Behavior Technician | – | – |
Practice location
1769 Hooper AveToms River, NJ 08753
Phone 732-913-0599
Mailing address
500 Us Highway 9 Unit 711Waretown, NJ 08758-1772
Phone 732-995-8263
Other practice locations
10 Parsonage Rd Ste 318
Edison, NJ 08837-2429
Edison, NJ 08837-2429
Phone 732-204-1635 · Fax 732-204-1636
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