OrganizationActive
Constructive Aba Inc
NPI 1760099170 · Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Passaic, NJ
Provider details
- NPI number
- 1760099170
- Entity type
- Organization
- Primary specialty
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Yasmel Jimenez, Provider/Owner(973) 861-3463
Specialties & taxonomies
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityPrimary320900000X
Residential Treatment Facilities
Profile Score
Established profile(63/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
217 Autumn St # 2
Passaic, NJ 07055-4305
Phone: (973) 861-2134
Street-level locationGet directions
Mailing address
217 Autumn St # 2
Passaic, NJ 07055-4305
Other names (DBA / former)
- Former legal business name
- Constructive Aba Inc
Registry dates
- Enumerated
- 2020-09-29
- Last updated
- 2020-09-29
- Certified
- 2020-09-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.