Provider Demographics
NPI:1235897562
Name:CONNECT N CARE ABA LLC
Entity Type:Organization
Organization Name:CONNECT N CARE ABA LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF CLINICAL DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:F
Authorized Official - Middle Name:
Authorized Official - Last Name:ORZEL
Authorized Official - Suffix:
Authorized Official - Credentials:BCBA
Authorized Official - Phone:877-262-2221
Mailing Address - Street 1:1072 MADISON AVE STE 625
Mailing Address - Street 2:
Mailing Address - City:LAKEWOOD
Mailing Address - State:NJ
Mailing Address - Zip Code:08701-2650
Mailing Address - Country:US
Mailing Address - Phone:877-262-2221
Mailing Address - Fax:
Practice Address - Street 1:10962 DAVID TAYLOR DRIVE
Practice Address - Street 2:SUITE 120 - 101
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28262-0039
Practice Address - Country:US
Practice Address - Phone:877-262-2221
Practice Address - Fax:877-745-4345
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-12-03
Last Update Date:2023-12-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251S00000XAgenciesCommunity/Behavioral HealthGroup - Multi-Specialty
No103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty
No103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Multi-Specialty
No103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Multi-Specialty
No106E00000XBehavioral Health & Social Service ProvidersAssistant Behavior AnalystGroup - Single Specialty
No106S00000XBehavioral Health & Social Service ProvidersBehavior TechnicianGroup - Single Specialty