| Gan Aliza Llc | |
|
509 Engle St Englewood NJ 07631-1813 | |
| (201) 308-3042 | |
| Not Available |
| Full Name | Gan Aliza Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 509 Engle St, Englewood, New Jersey |
| Authorized Official Name and Position | Tsipy Kohen-weiss (OWNER) |
| Authorized Official Contact | 2013083042 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gan Aliza Llc 458 W Englewood Ave Teaneck NJ 07666-2834 Ph: () - | Gan Aliza Llc 509 Engle St Englewood NJ 07631-1813 Ph: (201) 308-3042 |
| NPI Number | 1285430710 |
|---|---|
| Provider Enumeration Date | 02/24/2025 |
| Last Update Date | 03/19/2025 |
| Certification Date | 03/13/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285430710 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Secondary |
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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