| Growth Street Aba | |
|
28 Walnut Pkwy Apt 2 Montclair NJ 07042-4958 | |
| (347) 463-6267 | |
| Not Available |
| Full Name | Growth Street Aba |
|---|---|
| Speciality | Behavior Analyst |
| Location | 28 Walnut Pkwy Apt 2, Montclair, New Jersey |
| Authorized Official Name and Position | Jasmine Wright (OWNER) |
| Authorized Official Contact | 3472474070 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Growth Street Aba 9220 78th St Woodhaven NY 11421-2904 Ph: (347) 463-6267 | Growth Street Aba 28 Walnut Pkwy Apt 2 Montclair NJ 07042-4958 Ph: (347) 463-6267 |
| NPI Number | 1649805581 |
|---|---|
| Provider Enumeration Date | 03/11/2020 |
| Last Update Date | 10/20/2023 |
| Certification Date | 10/20/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649805581 | NPI | - | NPPES |
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