Provider Demographics
NPI:1588827323
Name:APPLIED BEHAVIOR CONSULTANTS, LLC
Entity Type:Organization
Organization Name:APPLIED BEHAVIOR CONSULTANTS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PROGRAM DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:AMY
Authorized Official - Middle Name:L
Authorized Official - Last Name:DAGES
Authorized Official - Suffix:
Authorized Official - Credentials:MS ED
Authorized Official - Phone:973-953-2092
Mailing Address - Street 1:121 MIDVALE RD
Mailing Address - Street 2:
Mailing Address - City:MOUNTAIN LAKES
Mailing Address - State:NJ
Mailing Address - Zip Code:07046-1437
Mailing Address - Country:US
Mailing Address - Phone:973-953-2092
Mailing Address - Fax:866-336-3015
Practice Address - Street 1:121 MIDVALE RD
Practice Address - Street 2:
Practice Address - City:MOUNTAIN LAKES
Practice Address - State:NJ
Practice Address - Zip Code:07046-1437
Practice Address - Country:US
Practice Address - Phone:973-953-2092
Practice Address - Fax:866-336-3015
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-07-02
Last Update Date:2008-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services