Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
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Supportive Licensed Behavior Analyst PLLC

Organization Behavior Analyst · NPI 1871489674

Supportive Licensed Behavior Analyst PLLC provides Behavior Analyst services in Jackson, New Jersey. Registered with an NPI since 2025.

In the registry since
2025
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: (917) 831-9691
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Behavior Analyst (primary) Taxonomy 103K00000X

Record details

NPI number1871489674
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Yosef Toledano — Ceo · (917) 831-9691
NPI enumeratedJune 17, 2025
Last updated in NPPESJune 17, 2025
Certification dateJune 17, 2025
Mailing address1810 N 52nd Ave, Hollywood, FL 33021-3912

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