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Organization
SHINING MINDS LLC
Active
Organization
SHINING MINDS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ANGELINA MARIE LONGO M.A., BCBA (BOARD CERTIFIED BEHAVIOR ANALYST)
(973) 647-2745
Entity
Organization
Contact information
Practice address
1 STONE AVE, ELMWOOD PARK, NJ 07407-1150
(973) 572-4216
Mailing address
132 HOLLYWOOD AVE, FAIRFIELD, NJ 07004-1223
(973) 647-2745
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
02/11/2022
Last updated
02/11/2022
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