Organization
ABA MAGICAL MOMENTS AZ LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JACOB KLEIN (OWNER)
(317) 648-9509
Entity
Organization
Contact information
Practice address
15150 W PARK PL FL 2, GOODYEAR, AZ 85395-2385
(928) 224-2610
Mailing address
300 TICE BLVD STE 165, WOODCLIFF LAKE, NJ 07677-8405
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
10/17/2023
Last updated
05/27/2026
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