Organization
INNOVATIVE ABA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHARLES WILLIAM KNOPPEL BCBA (BCBA)
(732) 691-1299
Entity
Organization
Contact information
Practice address
2432 BROOKHAVEN DR, VINELAND, NJ 08361-6850
(732) 691-1299
Mailing address
2432 BROOKHAVEN DR, VINELAND, NJ 08361-6850
(732) 691-1299
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
106E00000X
Assistant Behavior Analyst
—
—
106S00000X
Behavior Technician
—
—
Other
Enumeration date
04/21/2023
Last updated
05/21/2024
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