Organization
BOOMERANG ABA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
REBECCA CROCKETT BCBA, LBS (CO-FOUNDERS)
(908) 461-2177
Entity
Organization
Contact information
Practice address
632 JAMESTOWN ST, PHILADELPHIA, PA 19128-1705
(908) 461-2177
Mailing address
632 JAMESTOWN ST, PHILADELPHIA, PA 19128-1705
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
251S00000X
Community/Behavioral Health Agency
—
—
Other
Enumeration date
07/08/2024
Last updated
07/08/2024
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