Provider Demographics
NPI:1821390352
Name:KRISTEN MCCLOSKEY BCBA ASSOCIATES LLC
Entity Type:Organization
Organization Name:KRISTEN MCCLOSKEY BCBA ASSOCIATES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BEHAVIOR ANALYST
Authorized Official - Prefix:MRS
Authorized Official - First Name:KRISTEN
Authorized Official - Middle Name:
Authorized Official - Last Name:MCCLOSKEY
Authorized Official - Suffix:
Authorized Official - Credentials:BCBA, MSED
Authorized Official - Phone:551-404-3460
Mailing Address - Street 1:PO BOX 709
Mailing Address - Street 2:
Mailing Address - City:CLOSTER
Mailing Address - State:NJ
Mailing Address - Zip Code:07624-0709
Mailing Address - Country:US
Mailing Address - Phone:551-404-3460
Mailing Address - Fax:201-641-6566
Practice Address - Street 1:35 STORIG AVE
Practice Address - Street 2:
Practice Address - City:CLOSTER
Practice Address - State:NJ
Practice Address - Zip Code:07624-1118
Practice Address - Country:US
Practice Address - Phone:551-404-3460
Practice Address - Fax:201-641-6566
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-12-05
Last Update Date:2010-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ1-10-7666103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty