| Byrd's Of Paradise | |
|
5016 Bergenline Ave Unit 2 West New York NJ 07093-5522 | |
| (856) 383-6253 | |
| Not Available |
| Full Name | Byrd's Of Paradise |
|---|---|
| Speciality | Behavior Analyst |
| Location | 5016 Bergenline Ave Unit 2, West New York, New Jersey |
| Authorized Official Name and Position | Jamal Stephon Stephens (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 8563836253 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Byrd's Of Paradise 5016 Bergenline Ave Unit 2 West New York NJ 07093-5522 Ph: (856) 383-6253 | Byrd's Of Paradise 5016 Bergenline Ave Unit 2 West New York NJ 07093-5522 Ph: (856) 383-6253 |
| NPI Number | 1073370052 |
|---|---|
| Provider Enumeration Date | 03/05/2024 |
| Last Update Date | 03/05/2024 |
| Certification Date | 03/05/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073370052 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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