Provider Demographics
NPI:1659134781
Name:COMPASS CENTER FOR AUTISM & ABA SERVICES
Entity Type:Organization
Organization Name:COMPASS CENTER FOR AUTISM & ABA SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:MR
Authorized Official - First Name:SAMIR
Authorized Official - Middle Name:
Authorized Official - Last Name:POPAL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:908-422-1724
Mailing Address - Street 1:186 ROUTE 537
Mailing Address - Street 2:
Mailing Address - City:COLTS NECK
Mailing Address - State:NJ
Mailing Address - Zip Code:07722-1678
Mailing Address - Country:US
Mailing Address - Phone:908-422-1724
Mailing Address - Fax:
Practice Address - Street 1:906 STATE ROUTE 33
Practice Address - Street 2:
Practice Address - City:FREEHOLD
Practice Address - State:NJ
Practice Address - Zip Code:07728-8435
Practice Address - Country:US
Practice Address - Phone:908-422-1724
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-02-01
Last Update Date:2024-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes373H00000XNursing Service Related ProvidersDay Training/Habilitation SpecialistGroup - Multi-Specialty