| Shining Moments Nj Llc | |
|
1 Crimson Ct Lakewood NJ 08701-4068 | |
| (917) 494-2481 | |
| Not Available |
| Full Name | Shining Moments Nj Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 1 Crimson Ct, Lakewood, New Jersey |
| Authorized Official Name and Position | Brittany Marshall (CREDENTIALING MANAGER) |
| Authorized Official Contact | 7138377655 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Shining Moments Nj Llc 1 Crimson Ct Lakewood NJ 08701-4068 Ph: () - | Shining Moments Nj Llc 1 Crimson Ct Lakewood NJ 08701-4068 Ph: (917) 494-2481 |
| NPI Number | 1265326888 |
|---|---|
| Provider Enumeration Date | 06/06/2025 |
| Last Update Date | 08/09/2025 |
| Certification Date | 08/07/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265326888 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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