| Brave Wings Academy, Llp | |
|
155 Passaic Ave Ste 150 Fairfield NJ 07004-3562 | |
| (973) 800-8515 | |
| Not Available |
| Full Name | Brave Wings Academy, Llp |
|---|---|
| Speciality | Behavior Analyst |
| Location | 155 Passaic Ave Ste 150, Fairfield, New Jersey |
| Authorized Official Name and Position | Jennifer Moore (CO-OWNER) |
| Authorized Official Contact | 9738008515 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Brave Wings Academy, Llp 155 Passaic Ave Ste 150 Fairfield NJ 07004-3562 Ph: () - | Brave Wings Academy, Llp 155 Passaic Ave Ste 150 Fairfield NJ 07004-3562 Ph: (973) 800-8515 |
| NPI Number | 1114629177 |
|---|---|
| Provider Enumeration Date | 03/21/2023 |
| Last Update Date | 03/21/2023 |
| Certification Date | 03/21/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114629177 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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