Intentional Interventions, Llc | |
1501 S New Rd Pleasantville NJ 08232-3765 | |
(609) 380-1122 | |
(609) 374-9166 |
Full Name | Intentional Interventions, Llc |
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Speciality | Behavior Analyst |
Location | 1501 S New Rd, Pleasantville, New Jersey |
Authorized Official Name and Position | Talia Stephens (OWNER OPERATOR) |
Authorized Official Contact | 6094022720 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Intentional Interventions, Llc 125 Delaware Ave Egg Harbor Township NJ 08234-5796 Ph: (609) 402-2720 | Intentional Interventions, Llc 1501 S New Rd Pleasantville NJ 08232-3765 Ph: (609) 380-1122 |
NPI Number | 1013496264 |
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Provider Enumeration Date | 08/08/2018 |
Last Update Date | 04/27/2020 |
Certification Date | 04/27/2020 |
Identifier | Type | State | Issuer |
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1013496264 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103K00000X | Behavior Analyst | 1-18-30938 (* (Not Available)) | Primary |
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