| Behaved Brain | |
|
216 Dayton St Ridgewood NJ 07450-4400 | |
| (201) 857-5380 | |
| (201) 857-5379 |
| Full Name | Behaved Brain |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 216 Dayton St, Ridgewood, New Jersey |
| Authorized Official Name and Position | Kathryn R Gately (OWNER/THERAPIST) |
| Authorized Official Contact | 2018575380 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Behaved Brain 216 Dayton St Ridgewood NJ 07450-4400 Ph: (201) 857-5380 | Behaved Brain 216 Dayton St Ridgewood NJ 07450-4400 Ph: (201) 857-5380 |
| NPI Number | 1679023378 |
|---|---|
| Provider Enumeration Date | 10/06/2016 |
| Last Update Date | 10/06/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679023378 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 37PC00437800 (New Jersey) | Primary |
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