| The Special Education Teacher Llc | |
|
147 Ford Ave Fords NJ 08863-1622 | |
| (732) 934-5402 | |
| (908) 379-3286 |
| Full Name | The Special Education Teacher Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 147 Ford Ave, Fords, New Jersey |
| Authorized Official Name and Position | Amanda Martinez (CREDENTIALING) |
| Authorized Official Contact | 8052773392 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Special Education Teacher Llc 147 Ford Ave Fords NJ 08863-1622 Ph: (732) 934-5402 | The Special Education Teacher Llc 147 Ford Ave Fords NJ 08863-1622 Ph: (732) 934-5402 |
| NPI Number | 1275029985 |
|---|---|
| Provider Enumeration Date | 07/05/2018 |
| Last Update Date | 07/05/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275029985 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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