Organization
SHINING MOMENTS NJ LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRITTANY MARSHALL (CREDENTIALING MANAGER)
(713) 837-7655
Entity
Organization
Contact information
Practice address
1 CRIMSON CT, LAKEWOOD, NJ 08701-4068
(917) 494-2481
Mailing address
1 CRIMSON CT, LAKEWOOD, NJ 08701-4068
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
06/06/2025
Last updated
08/09/2025
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