Supportive ABA Therapy Mi LLC

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Legal business name

SUPPORTIVE ABA THERAPY MI LLC

Practice address

667 Rodrigues LN
Jackson, NJ 08527-4818

Phone

(917) 831-9691

NPI assigned

Jul 23, 2024

Last updated

Jul 23, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Yosef ToledanoNPI 1346974631

Title

Ceo

Phone

(917) 831-9691

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Yosef Toledano, BCBA

  • Behavior Analyst
  • Lakewood, NJ
  • NPI 1346974631
  Authorized official Same address or phone

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

{
    "created_epoch": "1721692800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721692800000",
    "number": "1598593477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "667 RODRIGUES LN",
            "city": "JACKSON",
            "state": "NJ",
            "postal_code": "085274818",
            "telephone_number": "917-831-9691"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "667 RODRIGUES LN",
            "city": "JACKSON",
            "state": "NJ",
            "postal_code": "085274818",
            "telephone_number": "917-831-9691"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUPPORTIVE ABA THERAPY MI LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-23",
        "last_updated": "2024-07-23",
        "certification_date": "2024-07-23",
        "status": "A",
        "authorized_official_last_name": "TOLEDANO",
        "authorized_official_first_name": "YOSEF",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "917-831-9691"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Sullivan, BCBA
• Marcia Ann Sullivan, PT
• Summit Health Services PC NJ LLC
• Shalet Sunny
• Supportive ABA Therapy LLC (Supportive ABA)
• Supportive Behavioral Services LLC (Supportive Behavior Services)
• Supportive Licensed Behavior Analyst PLLC
• Supportive Play Floortime LLC
• Supportive Steps ABA Therapy LLC
• Lisa Michelle Sussman, PSY.D.

• Behavior Analyst in Jackson, NJ
• Providers in Jackson, 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 Jul 23, 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.