Organization
ABA SUPPORT SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FAIGIE BASHIE SCHIFF (OWNER)
(917) 693-1075
Entity
Organization
Contact information
Practice address
1157 ROBIN DR, LAKEWOOD, NJ 08701-3069
(917) 693-1075
(732) 691-3937
Mailing address
1157 ROBIN DR, LAKEWOOD, NJ 08701-3069
(917) 693-1075
(732) 691-3937
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
225100000X
Physical Therapist
—
—
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
—
Other
Enumeration date
08/17/2016
Last updated
08/17/2016
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