# INCLUSIVE ABA NM LLC

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

## Provider details

- **NPI number:** 1538862321
- **Authorized official:** MR. JT GUTMAN (OWNER/CEO)
- **Authorized official phone:** (303) 616-1188

## Contact information

- **Practice address:** 400 N PENNSYLVANIA AVE STE 600, ROSWELL, NM 88201-4665
- **Practice address phone:** (575) 210-7377
- **Mailing address:** 1525 PROSPECT ST STE 603, LAKEWOOD, NJ 08701-4642
- **Mailing address phone:** (347) 946-5515
- **Mailing address fax:** (303) 616-1189

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 103K00000X | Behavior Analyst | — | NULL | Yes |
| 103K00000X | Behavior Analyst | — | — | Yes |
| 106S00000X | Behavior Technician | — | NULL | — |
| 106S00000X | Behavior Technician | — | — | — |

## Other

- **Enumeration date:** 03/22/2023
- **Last updated:** 07/28/2025