Organization · NPI-2

Advanced Behavioral Therapy

Community/Behavioral Health · Toms River, NJ

NPI number1952945115

StatusActive

Last updated in NPPESJan 13, 2021

Details

NPI: 1952945115
Entity type: Organization (NPI-2)
Legal business name: Advanced Behavioral Therapy
Organization subpart: No
Enumeration date: Oct 31, 2019
Certification date: Jan 13, 2021
Last updated: Jan 13, 2021

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
251S00000X	Community/Behavioral Health	–	–	Yes
103K00000X	Behavior Analyst	–	–
1041C0700X	Social Worker, Clinical	–	–
106E00000X	Assistant Behavior Analyst	–	–
106S00000X	Behavior Technician	–	–
225X00000X	Occupational Therapist	–	–
235Z00000X	Speech-Language Pathologist,	–	–

Practice location

222 Down Hill Run
Toms River, NJ 08755-1021

Phone 848-207-4174

Mailing address

222 Down Hill Run
Toms River, NJ 08755-1021

Authorized official

Avigail Kemmoun
Bcba
8482074174

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