Intense Behavioral Services Llc | |
120 Seaview Ave Jersey City NJ 07305-2411 | |
(201) 434-4240 | |
(201) 946-4240 |
Full Name | Intense Behavioral Services Llc |
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Speciality | Behavior Analyst |
Location | 120 Seaview Ave, Jersey City, New Jersey |
Authorized Official Name and Position | Emery Muldrow (OWNER) |
Authorized Official Contact | 2014344240 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Intense Behavioral Services Llc 120 Seaview Ave Jersey City NJ 07305-2411 Ph: (201) 434-4240 | Intense Behavioral Services Llc 120 Seaview Ave Jersey City NJ 07305-2411 Ph: (201) 434-4240 |
NPI Number | 1033597711 |
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Provider Enumeration Date | 05/13/2015 |
Last Update Date | 05/13/2015 |
Identifier | Type | State | Issuer |
---|---|---|---|
1033597711 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103K00000X | Behavior Analyst | 1-14-17492 (New Jersey) | Primary |
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