# MOJO ABA CORP

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1487360780
- **Authorized official:** MR. O'NEIL GLENN (PRESIDENT)
- **Authorized official phone:** (800) 941-3096

## Contact information

- **Practice address:** 721 E 220TH ST, BRONX, NY 10467-5385
- **Practice address phone:** (800) 941-3096
- **Mailing address:** PO BOX 514, RIDGE, NY 11961-0514
- **Mailing address phone:** (800) 941-3096

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 252Y00000X | Early Intervention Provider Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 01/30/2023
- **Last updated:** 01/30/2023
