Active NPI
Bounce ABA LLC
- Community/Behavioral Health Agency
- Lakewood, NJ
National Provider Identifier
1124768411
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- Legal business name
- BOUNCE ABA LLC
- Practice address
- 400 Boulevard of Americas
Lakewood, NJ 08701-4785 - Phone
- (908) 906-6563
- NPI assigned
- Apr 1, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Tova Eisemann
- Title
- Administrator
- Phone
- (908) 906-6563
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | Primary |
Addresses
Primary practice location
400 Boulevard of Americas
Lakewood, NJ 08701-4785
Mailing address
400 Boulevard of Americas
Lakewood, NJ 08701-4785
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | tova@bounceaba.com |
National Provider Directory
National Provider DirectoryLocations
400 Boulevard of Americas
Lakewood, NJ 08701
Phone (908) 906-6563
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1648771200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1648771200000",
"number": "1124768411",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "400 BOULEVARD OF AMERICAS",
"city": "LAKEWOOD",
"state": "NJ",
"postal_code": "087014785"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 BOULEVARD OF AMERICAS",
"city": "LAKEWOOD",
"state": "NJ",
"postal_code": "087014785",
"telephone_number": "908-906-6563"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BOUNCE ABA LLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-04-01",
"last_updated": "2022-04-01",
"certification_date": "2022-04-01",
"status": "A",
"authorized_official_last_name": "EISEMANN",
"authorized_official_first_name": "TOVA",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "908-906-6563"
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "tova@bounceaba.com",
"affiliation": "N",
"endpointDescription": "Email",
"address_1": "400 Boulevard Of Americas",
"city": "Lakewood",
"state": "NJ",
"country_code": "US",
"postal_code": "087014785",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Lakewood, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.