Organization · NPI-2
Aba Residential
Psychologist, Adult Development & Aging · Southampton, NJ
NPI number1780216952
StatusActive
Last updated in NPPESDec 10, 2025
Details
- NPI
- 1780216952
- Entity type
- Organization (NPI-2)
- Legal business name
- Aba Residential
- Organization subpart
- No
- Enumeration date
- Feb 6, 2020
- Certification date
- Dec 10, 2025
- Last updated
- Dec 10, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103TA0700X | Psychologist, Adult Development & Aging | – | – | Yes |
Practice location
127 Red Lion RdSouthampton, NJ 08088-8830
Phone 609-685-3973 · Fax 609-300-6003
Mailing address
127 Red Lion RdSouthampton, NJ 08088-8830
Phone 609-685-3973 · Fax 609-300-6003
Authorized official
Justin Beyer
Executive Director
6096853973
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