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Organization
WAVE MAKERS PEDIATRIC THERAPY SERVICES LLC
Active
Organization
WAVE MAKERS PEDIATRIC THERAPY SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. HEATHER M THERIAULT MS,CCC-SLP/L (SPEECH LANGUAGE PATHOLOGIST)
(609) 513-9381
Entity
Organization
Contact information
Practice address
4450 BLACK HORSE PIKE, MAYS LANDING, NJ 08330-3111
(609) 513-9381
Mailing address
12 HENRY RD, MARMORA, NJ 08223-1573
(609) 513-9381
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
—
—
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
06/16/2026
Last updated
06/16/2026
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