| Teachable Moments Of Nj | |
|
41 Fairmount Ave Apt 8b Hackensack NJ 07601-4747 | |
| (201) 478-1547 | |
| Not Available |
| Full Name | Teachable Moments Of Nj |
|---|---|
| Speciality | Clinic/center - Developmental Disabilities |
| Location | 41 Fairmount Ave Apt 8b, Hackensack, New Jersey |
| Authorized Official Name and Position | Jeanine Marie Potenza (DIRECTOR) |
| Authorized Official Contact | 2014781547 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Teachable Moments Of Nj Po Box 1122 Maywood NJ 07607-7122 Ph: (201) 478-1547 | Teachable Moments Of Nj 41 Fairmount Ave Apt 8b Hackensack NJ 07601-4747 Ph: (201) 478-1547 |
| NPI Number | 1043735699 |
|---|---|
| Provider Enumeration Date | 08/04/2017 |
| Last Update Date | 08/04/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043735699 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106S00000X | Behavior Technician | 00370093 (New Jersey) | Secondary |
| 261QD1600X | Clinic/center - Developmental Disabilities | 00375093 (New Jersey) | Primary |
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