| Innovative Aba | |
|
2432 Brookhaven Dr Vineland NJ 08361-6850 | |
| (732) 691-1299 | |
| Not Available |
| Full Name | Innovative Aba |
|---|---|
| Speciality | Behavior Analyst |
| Location | 2432 Brookhaven Dr, Vineland, New Jersey |
| Authorized Official Name and Position | Charles William Knoppel (BCBA) |
| Authorized Official Contact | 7326911299 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Innovative Aba 2432 Brookhaven Dr Vineland NJ 08361-6850 Ph: (732) 691-1299 | Innovative Aba 2432 Brookhaven Dr Vineland NJ 08361-6850 Ph: (732) 691-1299 |
| NPI Number | 1083301634 |
|---|---|
| Provider Enumeration Date | 04/21/2023 |
| Last Update Date | 05/21/2024 |
| Certification Date | 05/21/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083301634 | NPI | - | NPPES |
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