| Elite Behavior Therapy | |
|
192 Emmanuel Dr Lakewood NJ 08701-4882 | |
| (347) 374-0303 | |
| Not Available |
| Full Name | Elite Behavior Therapy |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 192 Emmanuel Dr, Lakewood, New Jersey |
| Authorized Official Name and Position | Raquel Weinberger (OWNER) |
| Authorized Official Contact | 3473740303 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Elite Behavior Therapy 192 Emmanuel Dr Lakewood NJ 08701-4882 Ph: (347) 374-0303 | Elite Behavior Therapy 192 Emmanuel Dr Lakewood NJ 08701-4882 Ph: (347) 374-0303 |
| NPI Number | 1386391027 |
|---|---|
| Provider Enumeration Date | 03/02/2022 |
| Last Update Date | 03/03/2022 |
| Certification Date | 03/03/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386391027 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Secondary |
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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