| Matara Services Llc | |
|
248 Pine St Lakewood NJ 08701-4831 | |
| (732) 800-1590 | |
| Not Available |
| Full Name | Matara Services Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 248 Pine St, Lakewood, New Jersey |
| Authorized Official Name and Position | Simcha Charnas (DIRECTOR) |
| Authorized Official Contact | 7328001590 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Matara Services Llc 248 Pine St Lakewood NJ 08701-4831 Ph: (732) 800-1590 | Matara Services Llc 248 Pine St Lakewood NJ 08701-4831 Ph: (732) 800-1590 |
| NPI Number | 1801307079 |
|---|---|
| Provider Enumeration Date | 10/16/2017 |
| Last Update Date | 10/16/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801307079 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | 1-17-26225 (* (Not Available)) | Primary |
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