TIDAL ABA NJ LLC
NPI 1811751415
Community/Behavioral Health in Ewing, NJ

Q: What is Tidal Aba Nj LLC's NPI number?

The NPI number for Tidal Aba Nj LLC is 1811751415. It was assigned to this organization in the NPPES registry on February 13, 2024.

Q: What is Tidal Aba Nj LLC's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

Q: When was this NPI record last updated?

The NPPES record for Tidal Aba Nj LLC was last updated on February 13, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since February 13, 2024

820 BEAR TAVERN RD, EWING, NJ 08628(718) 736-5689 Get Directions Write a Review

NPPES record last updated: February 13, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Tidal Aba Nj Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TIDAL ABA NJ LLC (NPI 1811751415) is a healthcare organization registered as a community/behavioral health in Ewing, New Jersey and active in the NPI registry since February 2024. The organization lists Jack Bravmann, Controller, as its authorized official.

NPPES Registry Identity

NPI1811751415

Entity TypeOrganization

Primary Taxonomy251S00000X

Legal Business NameTIDAL ABA NJ LLC

Location Address820 BEAR TAVERN RDEwing, NJ 08628-1021

Mailing Address600 Bayview Ave Ste 400Inwood, NY 11096-1606 · (718) 675-6957

Phone(718) 736-5689

Organization SubpartNo

Authorized OfficialJack BravmannController · (718) 675-6957

Enumeration DateFebruary 13, 2024

NPPES CertifiedFebruary 13, 2024

✔ NPI 1811751415 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity/Behavioral HealthAgencies

Taxonomy Code251S00000X

Definition

A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.

820 BEAR TAVERN RD, Ewing, NJ 08628

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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. MELISSA WAXMAN PSY.D.

Psychologist (Clinical)