| Star Track Healthcare Services Llc | |
|
236 Ridge Ave Lakewood NJ 08701-3448 | |
| (732) 370-0317 | |
| Not Available |
| Full Name | Star Track Healthcare Services Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 236 Ridge Ave, Lakewood, New Jersey |
| Authorized Official Name and Position | Tova Fisher (MEMBER) |
| Authorized Official Contact | 7323700317 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Star Track Healthcare Services Llc 236 Ridge Ave Lakewood NJ 08701-3448 Ph: (732) 370-0317 | Star Track Healthcare Services Llc 236 Ridge Ave Lakewood NJ 08701-3448 Ph: (732) 370-0317 |
| NPI Number | 1437762283 |
|---|---|
| Provider Enumeration Date | 08/30/2020 |
| Last Update Date | 08/30/2020 |
| Certification Date | 08/30/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437762283 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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