| Gold Heart Aba Llc | |
|
5 Macintosh Ct Jackson NJ 08527-1176 | |
| (631) 507-7643 | |
| Not Available |
| Full Name | Gold Heart Aba Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 5 Macintosh Ct, Jackson, New Jersey |
| Authorized Official Name and Position | Yehoushua Tyberg (OWNER) |
| Authorized Official Contact | 6315077643 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gold Heart Aba Llc 5 Macintosh Ct Jackson NJ 08527-1176 Ph: (631) 507-7643 | Gold Heart Aba Llc 5 Macintosh Ct Jackson NJ 08527-1176 Ph: (631) 507-7643 |
| NPI Number | 1346920162 |
|---|---|
| Provider Enumeration Date | 07/18/2023 |
| Last Update Date | 12/21/2023 |
| Certification Date | 12/14/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346920162 | NPI | - | NPPES |
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