| Full Name | |
|---|---|
| Speciality | Behavior Analyst |
| Location | 2 Esther Ct, Lakewood, New Jersey |
| Authorized Official Name and Position | Miriam Tress (OWNER) |
| Authorized Official Contact | 7325231245 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
2 Esther Ct Lakewood NJ 08701-2946 Ph: (732) 523-1245 | 2 Esther Ct Lakewood NJ 08701-2946 Ph: (732) 523-1245 |
| NPI Number | 1073859815 |
|---|---|
| Provider Enumeration Date | 12/26/2012 |
| Last Update Date | 12/01/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073859815 | NPI | - | NPPES |
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