Provider Demographics
NPI:1992500136
Name:A DIFFERENT DIMENSIONS ABA LLC
Entity type:Organization
Organization Name:A DIFFERENT DIMENSIONS ABA LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:RIVKA
Authorized Official - Middle Name:
Authorized Official - Last Name:HOCH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:732-841-6091
Mailing Address - Street 1:608 ALBERT AVE
Mailing Address - Street 2:
Mailing Address - City:LAKEWOOD
Mailing Address - State:NJ
Mailing Address - Zip Code:08701-5411
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:608 ALBERT AVE
Practice Address - Street 2:
Practice Address - City:LAKEWOOD
Practice Address - State:NJ
Practice Address - Zip Code:08701-5411
Practice Address - Country:US
Practice Address - Phone:732-841-6091
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-02-13
Last Update Date:2025-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty