Organization
LIFELINE ABA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NANCY FIKRY BCBA (OWNER)
(310) 990-4443
Entity
Organization
Contact information
Practice address
250 PEHLE AVE STE 2001003, SADDLE BROOK, NJ 07663-5830
(310) 990-4443
Mailing address
250 PEHLE AVE STE 2001003, SADDLE BROOK, NJ 07663-5830
(330) 990-4443
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
02/20/2023
Last updated
05/24/2024
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