NPI 1780029322 · live from the CMS NPI Registry
Achieve Behavioral Therapy LLC
Behavior Analyst in Lakewood, NJ. National Provider Identifier 1780029322, active.
NPI record
| NPI | 1780029322 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Behavior Analyst 103K00000X |
| Practice location | 126 Melville Ave, Lakewood, NJ 08701 |
| Practice phone | 908-910-2924 |
| Enumerated | May 9, 2013 |
| Last updated | May 9, 2013 |
| Authorized official | Malka Nussbaum, Owner |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Behavior Analyst primary | 103K00000X | 1-12-12337 (FL) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.