| Goldencare Therapy Licensed Behavior Analyst Pllc | |
|
5 Raven Lane Lakewood NJ 08701 | |
| (732) 886-9055 | |
| Not Available |
| Full Name | Goldencare Therapy Licensed Behavior Analyst Pllc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 5 Raven Lane, Lakewood, New Jersey |
| Authorized Official Name and Position | Estee Rothstein (MEMBER) |
| Authorized Official Contact | 7328869055 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Goldencare Therapy Licensed Behavior Analyst Pllc 5 Raven Ln Lakewood NJ 08701-4968 Ph: (732) 886-9055 | Goldencare Therapy Licensed Behavior Analyst Pllc 5 Raven Lane Lakewood NJ 08701 Ph: (732) 886-9055 |
| NPI Number | 1932553468 |
|---|---|
| Provider Enumeration Date | 04/21/2016 |
| Last Update Date | 04/10/2023 |
| Certification Date | 04/10/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932553468 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | 11313741 (New Jersey) | Secondary |
| 251S00000X | Community/behavioral Health | 000786 (New York) | Primary |
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