Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Fundamental Licensed Behavior Analyst PLLC

Organization Behavior Analyst · NPI 1386345270

Fundamental Licensed Behavior Analyst PLLC is a Behavior Analyst in Jackson, New Jersey. Works from 2 locations. Registered with an NPI since 2023.

In the registry since
2023
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

667 Rodrigues Ln
Jackson, NJ 08527-4818
Phone: (732) 314-3019
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1054 59th St Ste 1r, Brooklyn, NY 11219-4824 — (917) 831-9691

Specialties & licences

Behavior Analyst (primary) Taxonomy 103K00000X

Record details

NPI number1386345270
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Yosef Toledano — Member · (917) 831-9691
NPI enumeratedMarch 16, 2023
Last updated in NPPESAugust 3, 2023
Certification dateAugust 3, 2023
Mailing address667 Rodrigues Ln, Jackson, NJ 08527-4818

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