Provider Demographics
NPI:1366215162
Name:APEX ABA THERAPY GA LLC
Entity type:Organization
Organization Name:APEX ABA THERAPY GA LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:SHIMON
Authorized Official - Middle Name:
Authorized Official - Last Name:EHRMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:732-534-3101
Mailing Address - Street 1:1500 AVENUE OF THE STATES STE 400
Mailing Address - Street 2:
Mailing Address - City:LAKEWOOD
Mailing Address - State:NJ
Mailing Address - Zip Code:08701-4792
Mailing Address - Country:US
Mailing Address - Phone:732-534-3101
Mailing Address - Fax:
Practice Address - Street 1:3372 PEACHTREE RD NE STE 115
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30326-1963
Practice Address - Country:US
Practice Address - Phone:732-534-3101
Practice Address - Fax:732-534-3119
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:APEX ABA THERAPY LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2023-11-02
Last Update Date:2024-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Multi-Specialty
No106S00000XBehavioral Health & Social Service ProvidersBehavior TechnicianGroup - Multi-Specialty