# CHILDRENS SPECIALIZED HOSPITAL ABA II, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** CHILDRENS SPECIALIZED HOSPITAL ABA II, LLC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1023818374
- **Authorized official:** DAVID SUSSMAN (ADMINISTRATOR)
- **Authorized official phone:** (732) 599-9011

## Contact information

- **Practice address:** 12240 INDIAN CREEK CT, BELTSVILLE, MD 20705-1242
- **Practice address phone:** (201) 216-9500
- **Mailing address:** 175 BELGROVE DR, KEARNY, NJ 07032-1507

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 103T00000X | Psychologist | — | NULL | — |
| 103T00000X | Psychologist | — | — | — |
| 1041C0700X | Clinical Social Worker | — | NULL | — |
| 1041C0700X | Clinical Social Worker | — | — | — |
| 261QM1300X | Multi-Specialty Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 03/17/2025
- **Last updated:** 03/17/2025