Organization
AUTUMN ABA LLC
Active
Organization
AUTUMN ABA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SHMUEL GOTTLIEB (BUSINESS OWNER)
(848) 240-2147
Entity
Organization
Contact information
Practice address
233 LINCOLN ST, LAKEWOOD, NJ 08701-4811
(848) 240-2147
Mailing address
233 LINCOLN ST, LAKEWOOD, NJ 08701-4811
(848) 240-2147
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
04/18/2023
Last updated
04/18/2023
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