Innovative Ideas Llc | |
12 Van Gogh Dr East Windsor NJ 08520-2999 | |
(609) 721-2227 | |
Not Available |
Full Name | Innovative Ideas Llc |
---|---|
Speciality | Behavior Analyst |
Location | 12 Van Gogh Dr, East Windsor, New Jersey |
Authorized Official Name and Position | Kamalathara Srikanth (CLINICAL DIRECTOR) |
Authorized Official Contact | 6097212227 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Innovative Ideas Llc 12 Van Gogh Dr East Windsor NJ 08520-2999 Ph: (609) 721-2227 | Innovative Ideas Llc 12 Van Gogh Dr East Windsor NJ 08520-2999 Ph: (609) 721-2227 |
NPI Number | 1609569508 |
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Provider Enumeration Date | 05/29/2023 |
Last Update Date | 05/29/2023 |
Certification Date | 05/28/2023 |
Identifier | Type | State | Issuer |
---|---|---|---|
1609569508 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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