Mainstream ABA Support Services

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Legal business name

MAINSTREAM ABA SUPPORT SERVICES

Practice address

43 Kingsfield Dr
Lakewood, NJ 08701-3095

Phone

(732) 363-7872

NPI assigned

Nov 19, 2021

Organization subpart

No

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

Authorized official

Name

Chaya Balser

Title

Owner

Phone

(646) 373-0196

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1637280000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1637280000000",
    "number": "1144987645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "43 KINGSFIELD DR",
            "city": "LAKEWOOD",
            "state": "NJ",
            "postal_code": "087013095",
            "telephone_number": "732-363-7872"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "43 KINGSFIELD DR",
            "city": "LAKEWOOD",
            "state": "NJ",
            "postal_code": "087013095",
            "telephone_number": "732-363-7872"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAINSTREAM ABA SUPPORT SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-19",
        "last_updated": "2021-11-19",
        "certification_date": "2021-11-19",
        "status": "A",
        "authorized_official_last_name": "BALSER",
        "authorized_official_first_name": "CHAYA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "646-373-0196"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Behavior Analyst in Lakewood, NJ
• Providers in Lakewood, NJ by specialty
• Behavior Analyst in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2021; 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.