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Organization
EXPANDED CAPACITIES
Active
Organization
EXPANDED CAPACITIES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TZVI FRIED (OWNER)
(631) 703-8476
Entity
Organization
Contact information
Practice address
627 WOODBINE LN, LAKEWOOD, NJ 08701-5879
(732) 898-3434
Mailing address
627 WOODBINE LN, LAKEWOOD, NJ 08701-5879
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
01/01/2024
Last updated
01/01/2024
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