| Lifeline Aba Llc | |
|
250 Pehle Ave Ste 2001003 Saddle Brook NJ 07663-5830 | |
| (310) 990-4443 | |
| Not Available |
| Full Name | Lifeline Aba Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 250 Pehle Ave Ste 2001003, Saddle Brook, New Jersey |
| Authorized Official Name and Position | Nancy Fikry (OWNER) |
| Authorized Official Contact | 3109904443 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lifeline Aba Llc 250 Pehle Ave Ste 2001003 Saddle Brook NJ 07663-5830 Ph: (330) 990-4443 | Lifeline Aba Llc 250 Pehle Ave Ste 2001003 Saddle Brook NJ 07663-5830 Ph: (310) 990-4443 |
| NPI Number | 1972201937 |
|---|---|
| Provider Enumeration Date | 02/20/2023 |
| Last Update Date | 05/24/2024 |
| Certification Date | 05/24/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972201937 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Secondary |
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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