| Mainstream Aba Support Services | |
|
43 Kingsfield Dr Lakewood NJ 08701-3095 | |
| (732) 363-7872 | |
| Not Available |
| Full Name | Mainstream Aba Support Services |
|---|---|
| Speciality | Behavior Analyst |
| Location | 43 Kingsfield Dr, Lakewood, New Jersey |
| Authorized Official Name and Position | Chaya Balser (OWNER) |
| Authorized Official Contact | 6463730196 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mainstream Aba Support Services 43 Kingsfield Dr Lakewood NJ 08701-3095 Ph: (732) 363-7872 | Mainstream Aba Support Services 43 Kingsfield Dr Lakewood NJ 08701-3095 Ph: (732) 363-7872 |
| NPI Number | 1144987645 |
|---|---|
| Provider Enumeration Date | 11/19/2021 |
| Last Update Date | 11/19/2021 |
| Certification Date | 11/19/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144987645 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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