| Liftoff Aba Llc | |
|
111 Stratford Pl Lakewood NJ 08701-1468 | |
| (347) 782-9776 | |
| Not Available |
| Full Name | Liftoff Aba Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 111 Stratford Pl, Lakewood, New Jersey |
| Authorized Official Name and Position | Noah Levine (CO-DIRECTOR) |
| Authorized Official Contact | 3477829776 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Liftoff Aba Llc 455 Central Ave Cedarhurst NY 11516-2008 Ph: (347) 783-9776 | Liftoff Aba Llc 111 Stratford Pl Lakewood NJ 08701-1468 Ph: (347) 782-9776 |
| NPI Number | 1497568778 |
|---|---|
| Provider Enumeration Date | 01/30/2025 |
| Last Update Date | 01/30/2025 |
| Certification Date | 01/22/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497568778 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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