| Kids Club Aba Nj Llc | |
|
463 Passaic Ave Passaic NJ 07055-3301 | |
| (973) 294-8815 | |
| Not Available |
| Full Name | Kids Club Aba Nj Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 463 Passaic Ave, Passaic, New Jersey |
| Authorized Official Name and Position | Moishe Bobker (CEO) |
| Authorized Official Contact | 9732948815 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kids Club Aba Nj Llc 463 Passaic Ave Passaic NJ 07055-3301 Ph: (973) 294-8815 | Kids Club Aba Nj Llc 463 Passaic Ave Passaic NJ 07055-3301 Ph: (973) 294-8815 |
| NPI Number | 1578333613 |
|---|---|
| Provider Enumeration Date | 01/08/2024 |
| Last Update Date | 04/12/2024 |
| Certification Date | 04/12/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578333613 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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