Organization
SUNSHINE ADVANTAGE OF NM
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MIRIAM LICHTSCHEIN (MEMBER)
(347) 971-0039
Entity
Organization
Contact information
Practice address
150 WASHINGTON AVE STE 201, SANTA FE, NM 87501-2038
(732) 523-2327
Mailing address
1439 SOUTH ST, LAKEWOOD, NJ 08701-5440
(732) 523-2327
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
11/21/2022
Last updated
06/10/2025
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