Provider Demographics
NPI:1528897253
Name:CELEBRATEYOU ABA NC LLC
Entity type:Organization
Organization Name:CELEBRATEYOU ABA NC LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SHAYNA
Authorized Official - Middle Name:
Authorized Official - Last Name:WASSER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:732-841-1939
Mailing Address - Street 1:12 TRUDY LN
Mailing Address - Street 2:
Mailing Address - City:LAKEWOOD
Mailing Address - State:NJ
Mailing Address - Zip Code:08701-4676
Mailing Address - Country:US
Mailing Address - Phone:732-841-1939
Mailing Address - Fax:
Practice Address - Street 1:703 QUARRY ST
Practice Address - Street 2:
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27601-2513
Practice Address - Country:US
Practice Address - Phone:732-841-1939
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-07-31
Last Update Date:2024-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251S00000XAgenciesCommunity/Behavioral Health
No103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty