Organization
THERAPY ASSOCIATES ABA SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BENJAMIN HALBERSTAM PHD (DIRECTOR)
(973) 471-3046
Entity
Organization
Contact information
Practice address
329 AYCRIGG AVE, PASSAIC, NJ 07055-3713
(973) 471-3046
(973) 955-4395
Mailing address
329 AYCRIGG AVE, PASSAIC, NJ 07055-3713
(973) 471-3046
(973) 955-4395
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
—
—
235Z00000X
Speech-Language Pathologist
41YS00630600
NJ
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
41YS00630600
NJ DIVISION OF CONSUMER AFFAIRS
NJ
Enumeration date
07/05/2012
Last updated
06/20/2017
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