Provider Demographics
NPI:1003689027
Name:A SMILEY FACE NEW JERSEY LLC
Entity Type:Organization
Organization Name:A SMILEY FACE NEW JERSEY LLC
Other - Org Name:A SMILEY FACE ABA
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:MRS
Authorized Official - First Name:ELLA
Authorized Official - Middle Name:
Authorized Official - Last Name:GOLDIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:917-991-5956
Mailing Address - Street 1:200 MIDDLESEX ESSEX TPKE STE 307
Mailing Address - Street 2:
Mailing Address - City:ISELIN
Mailing Address - State:NJ
Mailing Address - Zip Code:08830-2033
Mailing Address - Country:US
Mailing Address - Phone:718-698-1300
Mailing Address - Fax:917-677-8601
Practice Address - Street 1:200 MIDDLESEX ESSEX TPKE STE 307
Practice Address - Street 2:
Practice Address - City:ISELIN
Practice Address - State:NJ
Practice Address - Zip Code:08830-2033
Practice Address - Country:US
Practice Address - Phone:718-698-1300
Practice Address - Fax:917-677-8601
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-11-01
Last Update Date:2024-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty