ABA Residential

Primary specialty

Adult Development & Aging PsychologistTaxonomy code 103TA0700X

Legal business name

ABA RESIDENTIAL

Practice address

127 Red Lion Rd
Southampton, NJ 08088-8830

Phone

(609) 685-3973

Fax

(609) 300-6003

NPI assigned

Feb 6, 2020

Organization subpart

No

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

Authorized official

Name

Justin Beyer, BCBANPI 1063968238

Title

Executive Director

Phone

(609) 685-3973

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Justin Beyer

  • Behavior Analyst
  • Umatilla, FL
  • NPI 1063968238
  NPD Authorized official

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

{
    "created_epoch": "1580947200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1765324800000",
    "number": "1780216952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "127 RED LION RD",
            "city": "SOUTHAMPTON",
            "state": "NJ",
            "postal_code": "080888830",
            "telephone_number": "609-685-3973",
            "fax_number": "609-300-6003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "127 RED LION RD",
            "city": "SOUTHAMPTON",
            "state": "NJ",
            "postal_code": "080888830",
            "telephone_number": "609-685-3973",
            "fax_number": "609-300-6003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABA RESIDENTIAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-06",
        "last_updated": "2025-12-10",
        "certification_date": "2025-12-10",
        "status": "A",
        "authorized_official_last_name": "BEYER",
        "authorized_official_first_name": "JUSTIN",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "609-685-3973",
        "authorized_official_credential": "BCBA"
    },
    "taxonomies": [
        {
            "code": "103TA0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Adult Development & Aging",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Camina Marilin Balmores, PT
• Julieanne Stephanie Barnett, LPC
• Brittney Boyle, PT, DPT
• Brent Phillip Brendle, M.S. L.P.C.
• Max Burger, MD

• Adult Development & Aging Psychologist in Southampton, NJ
• Providers in Southampton, NJ by specialty
• Adult Development & Aging Psychologist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2025; 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.