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

Supportive Licensed Behavior Analyst PLLC

Organization Behavior Analyst · NPI 1871489674

Supportive Licensed Behavior Analyst PLLC is a Behavior Analyst 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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