Provider Demographics
NPI:1710535752
Name:ATTAIN ABA NE LLC
Entity Type:Organization
Organization Name:ATTAIN ABA NE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:MR
Authorized Official - First Name:ELIEZER
Authorized Official - Middle Name:
Authorized Official - Last Name:FRIEDMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:732-886-6202
Mailing Address - Street 1:1000 AIRPORT RD STE 205
Mailing Address - Street 2:
Mailing Address - City:LAKEWOOD
Mailing Address - State:NJ
Mailing Address - Zip Code:08701-5960
Mailing Address - Country:US
Mailing Address - Phone:848-245-3182
Mailing Address - Fax:732-797-9303
Practice Address - Street 1:1000 AIRPORT RD STE 205
Practice Address - Street 2:
Practice Address - City:LAKEWOOD
Practice Address - State:NJ
Practice Address - Zip Code:08701-5960
Practice Address - Country:US
Practice Address - Phone:848-245-3182
Practice Address - Fax:732-797-9303
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-09-03
Last Update Date:2019-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty