| Kb-aba | |
|
11 First St Old Bridge NJ 08857-1214 | |
| (732) 425-0344 | |
| Not Available |
| Full Name | Kb-aba |
|---|---|
| Speciality | Behavior Analyst |
| Location | 11 First St, Old Bridge, New Jersey |
| Authorized Official Name and Position | Kendall Juliette Bacskoczky (OWNER, BCBA) |
| Authorized Official Contact | 7324250344 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kb-aba 11 First St Old Bridge NJ 08857-1214 Ph: (732) 425-0344 | Kb-aba 11 First St Old Bridge NJ 08857-1214 Ph: (732) 425-0344 |
| NPI Number | 1295516722 |
|---|---|
| Provider Enumeration Date | 10/10/2023 |
| Last Update Date | 10/10/2023 |
| Certification Date | 10/10/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295516722 | NPI | - | NPPES |
| 1073123253 | Other | NJ | NPEES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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