| Sky Care Aba Indiana Llc | |
|
1500 Ave Of The States Ste 306 Lakewood NJ 08701-4791 | |
| (844) 390-6265 | |
| Not Available |
| Full Name | Sky Care Aba Indiana Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 1500 Ave Of The States Ste 306, Lakewood, New Jersey |
| Authorized Official Name and Position | Jonathan Simensen (CHIEF OPERATING OFFICER) |
| Authorized Official Contact | 6096688042 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sky Care Aba Indiana Llc 1500 Ave Of The States Ste 306 Lakewood NJ 08701-4791 Ph: () - | Sky Care Aba Indiana Llc 1500 Ave Of The States Ste 306 Lakewood NJ 08701-4791 Ph: (844) 390-6265 |
| NPI Number | 1619769510 |
|---|---|
| Provider Enumeration Date | 05/19/2025 |
| Last Update Date | 05/22/2025 |
| Certification Date | 05/22/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619769510 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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