Interact Therapy Services, Llc | |
665 Princeton Ave Apt 201 Lakewood NJ 08701-2899 | |
(732) 966-3404 | |
Not Available |
Full Name | Interact Therapy Services, Llc |
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Speciality | Behavior Analyst |
Location | 665 Princeton Ave Apt 201, Lakewood, New Jersey |
Authorized Official Name and Position | Tessie Ahuva Gersten (DIRECTOR) |
Authorized Official Contact | 7329663404 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Interact Therapy Services, Llc 665 Princeton Ave Apt 201 Lakewood NJ 08701-2899 Ph: (732) 966-3404 | Interact Therapy Services, Llc 665 Princeton Ave Apt 201 Lakewood NJ 08701-2899 Ph: (732) 966-3404 |
NPI Number | 1104443241 |
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Provider Enumeration Date | 07/05/2020 |
Last Update Date | 07/05/2020 |
Certification Date | 07/05/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1104443241 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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