Provider Demographics
NPI:1558171488
Name:ABA DAY BY DAY LLC- RESPITE
Entity type:Organization
Organization Name:ABA DAY BY DAY LLC- RESPITE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:RASHAMELLA
Authorized Official - Middle Name:T
Authorized Official - Last Name:WALCOTT
Authorized Official - Suffix:
Authorized Official - Credentials:BCBA
Authorized Official - Phone:973-432-4894
Mailing Address - Street 1:188 JEFFERSON ST # 1150
Mailing Address - Street 2:
Mailing Address - City:NEWARK
Mailing Address - State:NJ
Mailing Address - Zip Code:07105-1622
Mailing Address - Country:US
Mailing Address - Phone:973-432-4894
Mailing Address - Fax:973-869-2483
Practice Address - Street 1:188 JEFFERSON ST # 1150
Practice Address - Street 2:
Practice Address - City:NEWARK
Practice Address - State:NJ
Practice Address - Zip Code:07105-1622
Practice Address - Country:US
Practice Address - Phone:973-432-4894
Practice Address - Fax:973-869-2483
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ABA DAY BY DAY, LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2025-01-13
Last Update Date:2025-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes385H00000XRespite Care FacilityRespite Care
No385HR2055XRespite Care FacilityRespite CareRespite Care, Mental Illness, Child
No385HR2060XRespite Care FacilityRespite CareRespite Care, Intellectual and/or Developmental Disabilities, Child
No385HR2065XRespite Care FacilityRespite CareRespite Care, Physical Disabilities, Child
No385HR2050XRespite Care FacilityRespite CareRespite Care Camp