Organization
123 ABA, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRIANNE LIVELLI (DIRECTOR/ BCBA)
(201) 259-0817
Entity
Organization
Contact information
Practice address
25 E NORTHFIELD RD, SUITE B, LIVINGSTON, NJ 07039-4531
(201) 259-0817
Mailing address
25 E NORTHFIELD RD, SUITE B, LIVINGSTON, NJ 07039-4531
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-08-4039
NJ
Other
Enumeration date
04/09/2012
Last updated
01/23/2013
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