Organization
TEACHABLE MOMENTS OF NJ
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JEANINE MARIE POTENZA TOH (DIRECTOR)
(201) 478-1547
Entity
Organization
Contact information
Practice address
41 FAIRMOUNT AVE APT 8B, HACKENSACK, NJ 07601-4747
(201) 478-1547
Mailing address
PO BOX 1122, MAYWOOD, NJ 07607-7122
(201) 478-1547
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
00370093
NJ
261QD1600X
Developmental Disabilities Clinic/Center
Primary
00375093
NJ
Other
Enumeration date
08/04/2017
Last updated
08/04/2017
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