Clover Care ABA LLC

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Legal business name

CLOVER CARE ABA LLC

Practice address

180 Miller Rd
Lakewood, NJ 08701-2332

Phone

(848) 240-2147

Fax

(732) 730-9661

NPI assigned

Aug 28, 2024

Organization subpart

No

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

Authorized official

Name

Mr. Sam Gottlieb

Title

Employee

Phone

(848) 240-2147

Specialties & licenses 1

Addresses

Other names 1

• Clover Care ABA Doing business as

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

{
    "created_epoch": "1724803200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724803200000",
    "number": "1770317075",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "180 MILLER RD",
            "city": "LAKEWOOD",
            "state": "NJ",
            "postal_code": "087012332",
            "telephone_number": "848-240-2147",
            "fax_number": "732-730-9661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "180 MILLER RD",
            "city": "LAKEWOOD",
            "state": "NJ",
            "postal_code": "087012332",
            "telephone_number": "848-240-2147",
            "fax_number": "732-730-9661"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLOVER CARE ABA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-28",
        "last_updated": "2024-08-28",
        "certification_date": "2024-08-28",
        "status": "A",
        "authorized_official_last_name": "GOTTLIEB",
        "authorized_official_first_name": "SAM",
        "authorized_official_title_or_position": "EMPLOYEE",
        "authorized_official_telephone_number": "848-240-2147",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Clover Care ABA",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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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 Aug 28, 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.