Provider Demographics
NPI:1053878793
Name:ACCESS AUTISM CONSULTING LLC
Entity type:Organization
Organization Name:ACCESS AUTISM CONSULTING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ELIYA
Authorized Official - Middle Name:
Authorized Official - Last Name:RIVKIN
Authorized Official - Suffix:
Authorized Official - Credentials:BCBA
Authorized Official - Phone:732-772-3466
Mailing Address - Street 1:70 CREST CIR
Mailing Address - Street 2:
Mailing Address - City:MATAWAN
Mailing Address - State:NJ
Mailing Address - Zip Code:07747-2601
Mailing Address - Country:US
Mailing Address - Phone:732-772-3466
Mailing Address - Fax:
Practice Address - Street 1:521 NEWMAN SPRINGS RD STE 21
Practice Address - Street 2:
Practice Address - City:LINCROFT
Practice Address - State:NJ
Practice Address - Zip Code:07738-1464
Practice Address - Country:US
Practice Address - Phone:732-772-3466
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-03-01
Last Update Date:2025-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center
No103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty