Organization Active NPI

Victoria NJ ABA LLC

  • Behavior Analyst
  • Perth Amboy, NJ
National Provider Identifier
1013741669
Registry record updated Aug 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
VICTORIA NJ ABA LLC
Practice address
27 Smith Street
Apt 13
Perth Amboy, NJ 08861-4450
Phone
(862) 417-4746
NPI assigned
Aug 27, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Andres Zuniga, M.ED.NPI 1487168860
Title
Bcba
Phone
(862) 417-4746

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior AnalystGroup: 193400000X SINGLE SPECIALTY GROUP 103K00000X Primary

Addresses

Primary practice location

27 Smith Street
Apt 13
Perth Amboy, NJ 08861-4450

Mailing address

701 State RT 440 Ste 16
Jersey City, NJ 07304-1069
Phone (862) 417-4746

National Provider Directory

National Provider Directory
Tax ID family
Victoria NJ ABA LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

701 State Rt 440
Ste 16
Jersey City, NJ 07304
Phone (347) 281-7841

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1724716800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724716800000",
    "number": "1013741669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 STATE RT 440 STE 16",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073041069",
            "telephone_number": "862-417-4746"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27 SMITH STREET",
            "address_2": "APT 13",
            "city": "PERTH AMBOY",
            "state": "NJ",
            "postal_code": "088614450",
            "telephone_number": "862-417-4746"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VICTORIA NJ ABA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-27",
        "last_updated": "2024-08-27",
        "certification_date": "2024-07-22",
        "status": "A",
        "authorized_official_last_name": "ZUNIGA",
        "authorized_official_first_name": "ANDRES",
        "authorized_official_title_or_position": "BCBA",
        "authorized_official_telephone_number": "862-417-4746",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.ED."
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Perth Amboy, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.