| Guiding Beacon 1 Inc. | |
|
312 Mountain Ave New Providence NJ 07974-2638 | |
| (551) 358-6742 | |
| Not Available |
| Full Name | Guiding Beacon 1 Inc. |
|---|---|
| Speciality | Behavior Analyst |
| Location | 312 Mountain Ave, New Providence, New Jersey |
| Authorized Official Name and Position | Smitha Mandava (OWNER & CEO) |
| Authorized Official Contact | 5513586742 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Guiding Beacon 1 Inc. 312 Mountain Ave New Providence NJ 07974-2638 Ph: (551) 358-6742 | Guiding Beacon 1 Inc. 312 Mountain Ave New Providence NJ 07974-2638 Ph: (551) 358-6742 |
| NPI Number | 1184403412 |
|---|---|
| Provider Enumeration Date | 09/26/2023 |
| Last Update Date | 09/26/2023 |
| Certification Date | 09/26/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184403412 | NPI | - | NPPES |
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