Organization
BEYOND THE SPECTRUM THERAPEUTIC CENTER, INC.
Active
Other names
Enhanced Play
Organization subpart
No
Provider details
NPI number
Authorized official
DEBRA DEMPSEY-CILIENTO (OWNER/OPERATOR)
(201) 825-4272
Entity
Organization
Contact information
Practice address
449 MAIN ST, LODI, NJ 07644-1818
(201) 825-4272
Mailing address
449 MAIN ST, LODI, NJ 07644-1818
(201) 509-1282
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
106E00000X
Assistant Behavior Analyst
—
—
106S00000X
Behavior Technician
—
—
224Z00000X
Occupational Therapy Assistant
—
—
2251P0200X
Pediatric Physical Therapist
—
—
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
—
252Y00000X
Early Intervention Provider Agency
—
—
261QM1300X
Multi-Specialty Clinic/Center
—
—
Other
Enumeration date
01/05/2021
Last updated
10/05/2022
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