| Guided Growth Aba Nj | |
|
49 Waterview Dr Lakewood NJ 08701-4312 | |
| (323) 241-2919 | |
| Not Available |
| Full Name | Guided Growth Aba Nj |
|---|---|
| Speciality | Behavior Analyst |
| Location | 49 Waterview Dr, Lakewood, New Jersey |
| Authorized Official Name and Position | Sora Faiga Enock (BCBA) |
| Authorized Official Contact | 7326749863 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Guided Growth Aba Nj 49 Waterview Dr Lakewood NJ 08701-4312 Ph: (323) 241-2919 | Guided Growth Aba Nj 49 Waterview Dr Lakewood NJ 08701-4312 Ph: (323) 241-2919 |
| NPI Number | 1003623828 |
|---|---|
| Provider Enumeration Date | 12/16/2024 |
| Last Update Date | 12/16/2024 |
| Certification Date | 12/15/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003623828 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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