Organization
BOLD BUDDIES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EPHRAIM GROSS (BUSINESS MANAGER)
(732) 338-9887
Entity
Organization
Contact information
Practice address
1320 CENTRAL PARK BLVD, FREDERICKSBURG, VA 22401-4942
(732) 338-9887
Mailing address
3 ASHFORD RD, JACKSON, NJ 08527-1701
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
06/20/2024
Last updated
07/01/2024
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