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Organization

INTENTIONAL INTERVENTIONS, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. TALIA STEPHENS BCBA (OWNER OPERATOR)
(609) 402-2720
Entity
Organization

Contact information

Practice address
1501 S NEW RD, PLEASANTVILLE, NJ 08232-3765
(609) 380-1122
(609) 374-9166
Mailing address
125 DELAWARE AVE, EGG HARBOR TOWNSHIP, NJ 08234-5796
(609) 402-2720
(609) 788-3617

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-18-30938

Other

Enumeration date
08/08/2018
Last updated
04/27/2020
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