| Dani Botelho Institute Llc | |
|
133 Pake St Nutley NJ 07110-3023 | |
| (201) 895-1076 | |
| Not Available |
| Full Name | Dani Botelho Institute Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 133 Pake St, Nutley, New Jersey |
| Authorized Official Name and Position | Danielle Botelho (BCBA) |
| Authorized Official Contact | 2018951076 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dani Botelho Institute Llc 133 Pake St Nutley NJ 07110-3023 Ph: (201) 895-1076 | Dani Botelho Institute Llc 133 Pake St Nutley NJ 07110-3023 Ph: (201) 895-1076 |
| NPI Number | 1821833559 |
|---|---|
| Provider Enumeration Date | 06/25/2024 |
| Last Update Date | 06/25/2024 |
| Certification Date | 06/25/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821833559 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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