Organization
PIVOTAL ABA, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. THOMAS M HANSEN BCBA, LBA (EXECUTIVE CLINICAL DIRECTOR)
(551) 301-9000
Entity
Organization
Contact information
Practice address
524 10TH ST, LYNDHURST, NJ 07071-2723
(551) 301-9000
(551) 284-8090
Mailing address
524 10TH ST, LYNDHURST, NJ 07071-2723
(551) 301-9000
(551) 284-8090
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
—
—
106S00000X
Behavior Technician
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
10/05/2022
Last updated
10/05/2022
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