Organization Active NPI

Bounce ABA LLC

  • Community/Behavioral Health Agency
  • Lakewood, NJ
National Provider Identifier
1124768411
Registry record updated Apr 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
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

Updated by the provider on Apr 1, 2022

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)CodeLicenseStatePrimary
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

TypeEndpointUseAffiliation
Direct Messaging Address tova@bounceaba.com

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.