Organization
CONSTRUCTIVE ABA INC
Active
Other names
Constructive ABA INC
Organization subpart
No
Provider details
NPI number
Authorized official
YASMEL JIMENEZ (PROVIDER/OWNER)
(973) 861-3463
Entity
Organization
Contact information
Practice address
217 AUTUMN ST # 2, PASSAIC, NJ 07055-4305
(973) 861-2134
Mailing address
217 AUTUMN ST # 2, PASSAIC, NJ 07055-4305
(973) 861-2134
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
09/29/2020
Last updated
09/29/2020
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