| Great Minds Aba Therapy Llc | |
|
4 Whitney Pl Hainesport NJ 08036-6251 | |
| (856) 220-9903 | |
| Not Available |
| Full Name | Great Minds Aba Therapy Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 4 Whitney Pl, Hainesport, New Jersey |
| Authorized Official Name and Position | Kristen Thomsen (BEHAVIOR ANALYST/DIRECTOR) |
| Authorized Official Contact | 8562209903 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Great Minds Aba Therapy Llc 4 Whitney Pl Hainesport NJ 08036-6251 Ph: (856) 220-9903 | Great Minds Aba Therapy Llc 4 Whitney Pl Hainesport NJ 08036-6251 Ph: (856) 220-9903 |
| NPI Number | 1235771577 |
|---|---|
| Provider Enumeration Date | 10/08/2019 |
| Last Update Date | 10/08/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235771577 | NPI | - | NPPES |
| 1-17-27369 | Other | BEHAVIOR ANALYST CERTIFICATION BOARD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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