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Organization
SKILL SETS THERAPY
Active
Organization
SKILL SETS THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RAPHAEL MILLER (DIRECTOR)
(848) 299-2274
Entity
Organization
Contact information
Practice address
13 EMPIRE LN, LAKEWOOD, NJ 08701-5162
(848) 299-2274
Mailing address
13 EMPIRE LN, LAKEWOOD, NJ 08701-5162
(848) 299-2274
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
174400000X
Specialist
—
—
235Z00000X
Speech-Language Pathologist
—
—
Other
Enumeration date
06/19/2017
Last updated
07/21/2022
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