Provider Demographics
NPI:1285174334
Name:MOVING MOUNTAINS ABA LLC
Entity type:Organization
Organization Name:MOVING MOUNTAINS ABA LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:CARLY
Authorized Official - Middle Name:
Authorized Official - Last Name:KEHLER
Authorized Official - Suffix:
Authorized Official - Credentials:BCBA
Authorized Official - Phone:908-798-2085
Mailing Address - Street 1:514 W MOORE ST
Mailing Address - Street 2:
Mailing Address - City:HACKETTSTOWN
Mailing Address - State:NJ
Mailing Address - Zip Code:07840-2144
Mailing Address - Country:US
Mailing Address - Phone:908-798-2085
Mailing Address - Fax:908-864-0090
Practice Address - Street 1:224 W STIGER ST.
Practice Address - Street 2:
Practice Address - City:HACKETTSTOWN
Practice Address - State:NJ
Practice Address - Zip Code:07840
Practice Address - Country:US
Practice Address - Phone:908-798-2085
Practice Address - Fax:908-864-0090
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-03-07
Last Update Date:2024-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty
No251S00000XAgenciesCommunity/Behavioral Health