Provider Demographics
NPI:1164136164
Name:APEX ABA THERAPY NM LLC
Entity Type:Organization
Organization Name:APEX ABA THERAPY NM LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:SHIMON
Authorized Official - Middle Name:
Authorized Official - Last Name:EHRMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:845-642-2112
Mailing Address - Street 1:1500 AVENUE OF THE STATES STE 400
Mailing Address - Street 2:
Mailing Address - City:LAKEWOOD
Mailing Address - State:NJ
Mailing Address - Zip Code:08701-4792
Mailing Address - Country:US
Mailing Address - Phone:845-642-2112
Mailing Address - Fax:
Practice Address - Street 1:1500 AVENUE OF THE STATES STE 400
Practice Address - Street 2:
Practice Address - City:LAKEWOOD
Practice Address - State:NJ
Practice Address - Zip Code:08701-4792
Practice Address - Country:US
Practice Address - Phone:845-642-2112
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:APEX ABA THERAPY LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2023-01-13
Last Update Date:2023-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Multi-Specialty
No106S00000XBehavioral Health & Social Service ProvidersBehavior TechnicianGroup - Multi-Specialty