Provider Demographics
NPI:1497109409
Name:PROGRESSIVE APPLIED BEHAVIORAL TREATMENT
Entity Type:Organization
Organization Name:PROGRESSIVE APPLIED BEHAVIORAL TREATMENT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:ARON
Authorized Official - Middle Name:
Authorized Official - Last Name:IGEL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:718-977-5122
Mailing Address - Street 1:1 ALLISON DR
Mailing Address - Street 2:
Mailing Address - City:CHERRY HILL
Mailing Address - State:NJ
Mailing Address - Zip Code:08003-2309
Mailing Address - Country:US
Mailing Address - Phone:856-827-7636
Mailing Address - Fax:856-827-7640
Practice Address - Street 1:1 ALLISON DR
Practice Address - Street 2:
Practice Address - City:CHERRY HILL
Practice Address - State:NJ
Practice Address - Zip Code:08003-2309
Practice Address - Country:US
Practice Address - Phone:856-827-7636
Practice Address - Fax:856-827-7640
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-04-15
Last Update Date:2022-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health