| Imagination Aba Therapy | |
|
117 Downing St Lakewood NJ 08701-1457 | |
| (848) 226-0925 | |
| Not Available |
| Full Name | Imagination Aba Therapy |
|---|---|
| Speciality | Behavior Analyst |
| Location | 117 Downing St, Lakewood, New Jersey |
| Authorized Official Name and Position | Chanina Nakdimen (OWNER) |
| Authorized Official Contact | 8482260925 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Imagination Aba Therapy 117 Downing St Lakewood NJ 08701-1457 Ph: (848) 226-0925 | Imagination Aba Therapy 117 Downing St Lakewood NJ 08701-1457 Ph: (848) 226-0925 |
| NPI Number | 1811683394 |
|---|---|
| Provider Enumeration Date | 04/17/2023 |
| Last Update Date | 09/24/2024 |
| Certification Date | 09/24/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811683394 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Secondary |
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