Provider Demographics
NPI:1902635055
Name:JADE ABA THERAPY LLC
Entity type:Organization
Organization Name:JADE ABA THERAPY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:AVROHOM
Authorized Official - Middle Name:
Authorized Official - Last Name:ORLANSKY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:917-578-7408
Mailing Address - Street 1:7 CAINS RD
Mailing Address - Street 2:
Mailing Address - City:SUFFERN
Mailing Address - State:NY
Mailing Address - Zip Code:10901-1703
Mailing Address - Country:US
Mailing Address - Phone:917-578-7408
Mailing Address - Fax:
Practice Address - Street 1:1248 CARMIA WAY
Practice Address - Street 2:
Practice Address - City:NORTH CHESTERFIELD
Practice Address - State:VA
Practice Address - Zip Code:23235-4750
Practice Address - Country:US
Practice Address - Phone:917-578-7408
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:JADE ABA THERAPY LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2024-07-29
Last Update Date:2024-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty