| Bold Buddies Llc | |
|
1320 Central Park Blvd Fredericksburg VA 22401-4942 | |
| (732) 338-9887 | |
| Not Available |
| Full Name | Bold Buddies Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 1320 Central Park Blvd, Fredericksburg, Virginia |
| Authorized Official Name and Position | Ephraim Gross (BUSINESS MANAGER) |
| Authorized Official Contact | 7323389887 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bold Buddies Llc 3 Ashford Rd Jackson NJ 08527-1701 Ph: () - | Bold Buddies Llc 1320 Central Park Blvd Fredericksburg VA 22401-4942 Ph: (732) 338-9887 |
| NPI Number | 1205670601 |
|---|---|
| Provider Enumeration Date | 06/20/2024 |
| Last Update Date | 07/01/2024 |
| Certification Date | 07/01/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205670601 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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