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Organization

AHEAD ABA L.L.C

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. JUDAH EDELSTEIN (CEO)
(929) 884-1068
Entity
Organization

Contact information

Practice address
7901 4TH ST N STE 300, ST PETERSBURG, FL 33702-4399
(929) 884-1068
Mailing address
1 GREEN HILL LN, SPRING VALLEY, NY 10977-1608
(845) 608-4360

Taxonomy

Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
225100000X
Physical Therapist
225X00000X
Occupational Therapist

Other

Enumeration date
08/26/2025
Last updated
08/26/2025
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