# MILIEU SERVICES

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- **Entity:** Organization
- **Status:** Active
- **Other names:** MR.
- **Organization subpart:** No

## Provider details

- **NPI number:** 1720578834
- **Authorized official:** MR. SEAN NUSSBAUM (OWNER)
- **Authorized official phone:** (732) 930-1255

## Contact information

- **Practice address:** 701 CROSS ST, LAKEWOOD, NJ 08701-4029
- **Practice address phone:** (732) 930-1255
- **Mailing address:** 701 CROSS ST, LAKEWOOD, NJ 08701-4029

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 103K00000X | Behavior Analyst | — | NULL | — |
| 103K00000X | Behavior Analyst | — | — | — |
| 104100000X | Social Worker | — | NULL | — |
| 104100000X | Social Worker | — | — | — |
| 1041C0700X | Clinical Social Worker | — | NULL | — |
| 1041C0700X | Clinical Social Worker | — | — | — |
| 1041S0200X | School Social Worker | — | NULL | — |
| 1041S0200X | School Social Worker | — | — | — |
| 225100000X | Physical Therapist | — | NULL | — |
| 225100000X | Physical Therapist | — | — | — |
| 225X00000X | Occupational Therapist | — | NULL | — |
| 225X00000X | Occupational Therapist | — | — | — |
| 235Z00000X | Speech-Language Pathologist | — | NULL | Yes |
| 235Z00000X | Speech-Language Pathologist | — | — | Yes |

## Other

- **Enumeration date:** 05/14/2018
- **Last updated:** 04/10/2019