Organization
FAMILY TREEHOUSE ABA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SAMANTHA LEITAO BCBA (OWNER)
(973) 617-6705
Entity
Organization
Contact information
Practice address
120 COON DEN RD, HIGHLAND LAKES, NJ 07422-2078
(973) 617-6705
(201) 621-4346
Mailing address
120 COON DEN RD, HIGHLAND LAKES, NJ 07422-2078
(973) 617-6705
(201) 621-4346
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
106E00000X
Assistant Behavior Analyst
—
—
106S00000X
Behavior Technician
—
—
251S00000X
Community/Behavioral Health Agency
—
—
Other
Enumeration date
08/31/2020
Last updated
09/02/2020
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