Organization
MIND RISE ABA VA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSHUA HERTZ (OWNER)
(732) 677-4124
Entity
Organization
Contact information
Practice address
10249 HENDLEY RD, MANASSAS, VA 20110-7913
(732) 677-4124
Mailing address
701 WELLINGTON AVE, TOMS RIVER, NJ 08757-1310
(732) 677-4124
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
12/27/2024
Last updated
06/10/2026
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