Provider Demographics
NPI:1851671309
Name:SHORE WAY ABA, LLC
Entity Type:Organization
Organization Name:SHORE WAY ABA, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BCBA
Authorized Official - Prefix:MRS
Authorized Official - First Name:SHERYL
Authorized Official - Middle Name:
Authorized Official - Last Name:ZANNI
Authorized Official - Suffix:
Authorized Official - Credentials:BCBA, MA
Authorized Official - Phone:908-433-4092
Mailing Address - Street 1:11 BELLE PL
Mailing Address - Street 2:
Mailing Address - City:NEPTUNE CITY
Mailing Address - State:NJ
Mailing Address - Zip Code:07753-6701
Mailing Address - Country:US
Mailing Address - Phone:908-433-4092
Mailing Address - Fax:
Practice Address - Street 1:11 BELLE PL
Practice Address - Street 2:
Practice Address - City:NEPTUNE CITY
Practice Address - State:NJ
Practice Address - Zip Code:07753-6701
Practice Address - Country:US
Practice Address - Phone:908-433-4092
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-08-27
Last Update Date:2011-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health