Provider Demographics
NPI:1821702101
Name:RISE ABOVE ABA OF NEW JERSEY LLC.
Entity Type:Organization
Organization Name:RISE ABOVE ABA OF NEW JERSEY LLC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:TUSHIA
Authorized Official - Middle Name:HADASA
Authorized Official - Last Name:BAUM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:833-747-3222
Mailing Address - Street 1:20 COMMERCE DR STE 135
Mailing Address - Street 2:
Mailing Address - City:CRANFORD
Mailing Address - State:NJ
Mailing Address - Zip Code:07016-3614
Mailing Address - Country:US
Mailing Address - Phone:833-747-3222
Mailing Address - Fax:833-747-3244
Practice Address - Street 1:20 COMMERCE DR STE 135
Practice Address - Street 2:
Practice Address - City:CRANFORD
Practice Address - State:NJ
Practice Address - Zip Code:07016-3614
Practice Address - Country:US
Practice Address - Phone:833-747-3222
Practice Address - Fax:833-747-3244
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-01-10
Last Update Date:2023-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty