Provider Demographics
NPI:1356006977
Name:FIRST CHOICE ABA, LLC
Entity Type:Organization
Organization Name:FIRST CHOICE ABA, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:MAYER
Authorized Official - Middle Name:
Authorized Official - Last Name:REIZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:908-291-8218
Mailing Address - Street 1:11 WHITE BIRCH DR
Mailing Address - Street 2:
Mailing Address - City:POMONA
Mailing Address - State:NY
Mailing Address - Zip Code:10970-3403
Mailing Address - Country:US
Mailing Address - Phone:917-873-5587
Mailing Address - Fax:
Practice Address - Street 1:186 MOUNTAIN VIEW DR
Practice Address - Street 2:
Practice Address - City:LAKEWOOD
Practice Address - State:NJ
Practice Address - Zip Code:08701-5856
Practice Address - Country:US
Practice Address - Phone:917-873-5587
Practice Address - Fax:718-637-6546
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-11-08
Last Update Date:2021-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty