| Quest For Excellence International, Llc | |
|
2 Broadway Park Ridge NJ 07656-2157 | |
| (667) 207-0445 | |
| Not Available |
| Full Name | Quest For Excellence International, Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 2 Broadway, Park Ridge, New Jersey |
| Authorized Official Name and Position | Donna Ivery (DIRECTOR) |
| Authorized Official Contact | 6672070445 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Quest For Excellence International, Llc Po Box 175 Park Ridge NJ 07656-0175 Ph: (667) 207-0445 | Quest For Excellence International, Llc 2 Broadway Park Ridge NJ 07656-2157 Ph: (667) 207-0445 |
| NPI Number | 1811467582 |
|---|---|
| Provider Enumeration Date | 11/26/2018 |
| Last Update Date | 11/26/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811467582 | NPI | - | NPPES |
| 1194279570 | Medicaid | NJ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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