Provider Demographics
NPI:1801471511
Name:BCUBE ABA LLC
Entity type:Organization
Organization Name:BCUBE ABA LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:IDONGESIT
Authorized Official - Middle Name:U
Authorized Official - Last Name:INYANG
Authorized Official - Suffix:
Authorized Official - Credentials:BCBA
Authorized Official - Phone:848-228-1667
Mailing Address - Street 1:1 DONLONTON CIR
Mailing Address - Street 2:
Mailing Address - City:CHESTERFIELD
Mailing Address - State:NJ
Mailing Address - Zip Code:08515-9786
Mailing Address - Country:US
Mailing Address - Phone:848-228-1667
Mailing Address - Fax:
Practice Address - Street 1:1 DONLONTON CIR
Practice Address - Street 2:
Practice Address - City:CHESTERFIELD
Practice Address - State:NJ
Practice Address - Zip Code:08515-9786
Practice Address - Country:US
Practice Address - Phone:848-228-1667
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-03-15
Last Update Date:2021-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty