Pediatric Interactions, Llc | |
47 Wilson Ave Manalapan NJ 07726-1589 | |
(732) 617-6797 | |
(732) 358-0591 |
Full Name | Pediatric Interactions, Llc |
---|---|
Speciality | Behavior Analyst |
Location | 47 Wilson Ave, Manalapan, New Jersey |
Authorized Official Name and Position | Karitssa Fernandez Barry (OWNER) |
Authorized Official Contact | 7326176797 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Pediatric Interactions, Llc 47 Wilson Ave Manalapan NJ 07726-1589 Ph: (732) 617-6797 | Pediatric Interactions, Llc 47 Wilson Ave Manalapan NJ 07726-1589 Ph: (732) 617-6797 |
NPI Number | 1710519285 |
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Provider Enumeration Date | 02/12/2020 |
Last Update Date | 02/12/2020 |
Certification Date | 02/12/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1710519285 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
235Z00000X | Speech-language Pathologist | (* (Not Available)) | Secondary |
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