Organization
JOURNEY ABA NE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID A KUTOFF (PRESIDENT)
(612) 817-0388
Entity
Organization
Contact information
Practice address
529 MAIN ST STE 200, CHARLESTOWN, MA 02129-1119
(617) 910-1414
(617) 910-1415
Mailing address
5801 SW 37TH TER, FORT LAUDERDALE, FL 33312-6230
(612) 817-0388
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
106S00000X
Behavior Technician
—
—
225100000X
Physical Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
—
Other
Enumeration date
07/16/2020
Last updated
02/03/2026
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