Organization
INCLUSIVE ABA NM LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JT GUTMAN (OWNER/CEO)
(303) 616-1188
Entity
Organization
Contact information
Practice address
400 N PENNSYLVANIA AVE STE 600, ROSWELL, NM 88201-4665
(575) 210-7377
Mailing address
1525 PROSPECT ST STE 603, LAKEWOOD, NJ 08701-4642
(347) 946-5515
(303) 616-1189
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
106S00000X
Behavior Technician
—
—
Other
Enumeration date
03/22/2023
Last updated
07/28/2025
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