Organization
KB-ABA
Active
Other names
KB-ABA
Organization subpart
No
Provider details
NPI number
Authorized official
KENDALL JULIETTE BACSKOCZKY BCBA (OWNER, BCBA)
(732) 425-0344
Entity
Organization
Contact information
Practice address
11 FIRST ST, OLD BRIDGE, NJ 08857-1214
(732) 425-0344
Mailing address
11 FIRST ST, OLD BRIDGE, NJ 08857-1214
(732) 425-0344
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1073123253
NPEES
NJ
Enumeration date
10/10/2023
Last updated
10/10/2023
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