| Mastermind Behavior Services | |
|
204 Hadassah Ln Lakewood NJ 08701-5562 | |
| (732) 367-0781 | |
| (732) 367-0781 |
| Full Name | Mastermind Behavior Services |
|---|---|
| Speciality | Behavior Analyst |
| Location | 204 Hadassah Ln, Lakewood, New Jersey |
| Authorized Official Name and Position | Raizy Perlstein (OWNER) |
| Authorized Official Contact | 7323670781 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mastermind Behavior Services 204 Hadassah Ln Lakewood NJ 08701-5562 Ph: (732) 367-0781 | Mastermind Behavior Services 204 Hadassah Ln Lakewood NJ 08701-5562 Ph: (732) 367-0781 |
| NPI Number | 1891148227 |
|---|---|
| Provider Enumeration Date | 07/20/2016 |
| Last Update Date | 07/20/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891148227 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | 0450090137 (New Jersey) | Primary |
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