Provider Demographics
NPI:1225385529
Name:ADVANCED BEHAVIORAL ASSOCIATES
Entity Type:Organization
Organization Name:ADVANCED BEHAVIORAL ASSOCIATES
Other - Org Name:STEPHEN S. CRAIG
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER PSYCHOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:STEPHEN
Authorized Official - Middle Name:S
Authorized Official - Last Name:CRAIG
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:973-226-8487
Mailing Address - Street 1:157 EAGLE ROCK AVE
Mailing Address - Street 2:
Mailing Address - City:ROSELAND
Mailing Address - State:NJ
Mailing Address - Zip Code:07068-1353
Mailing Address - Country:US
Mailing Address - Phone:973-226-8487
Mailing Address - Fax:
Practice Address - Street 1:157 EAGLE ROCK AVE
Practice Address - Street 2:
Practice Address - City:ROSELAND
Practice Address - State:NJ
Practice Address - Zip Code:07068-1353
Practice Address - Country:US
Practice Address - Phone:973-226-8487
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-08-07
Last Update Date:2012-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ2601103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty