Provider Demographics
NPI:1669099297
Name:COMFORT ABA
Entity type:Organization
Organization Name:COMFORT ABA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:YEVGENYA
Authorized Official - Middle Name:
Authorized Official - Last Name:FLEYSHMAN
Authorized Official - Suffix:
Authorized Official - Credentials:BCBA, LPC
Authorized Official - Phone:215-485-7012
Mailing Address - Street 1:67 NEWKIRK STATION RD
Mailing Address - Street 2:
Mailing Address - City:ELMER
Mailing Address - State:NJ
Mailing Address - Zip Code:08318-2749
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:67 NEWKIRK STATION RD
Practice Address - Street 2:
Practice Address - City:ELMER
Practice Address - State:NJ
Practice Address - Zip Code:08318-2749
Practice Address - Country:US
Practice Address - Phone:215-485-7012
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-06-30
Last Update Date:2020-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty