Organization
LIVING THROUGH MY DREAMS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
COURTNEY GRAY (MANAGER)
(445) 345-8166
Entity
Organization
Contact information
Practice address
407 QUAKER CT, LAWNSIDE, NJ 08045-1039
(445) 345-8166
Mailing address
407 QUAKER CT, LAWNSIDE, NJ 08045-1039
(445) 345-8166
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
—
—
251300000X
Local Education Agency (LEA)
—
—
251B00000X
Case Management Agency
—
—
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
251J00000X
Nursing Care Agency
—
—
251K00000X
Public Health or Welfare Agency
—
—
251S00000X
Community/Behavioral Health Agency
—
—
251T00000X
PACE Provider Organization
—
—
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Enumeration date
02/22/2022
Last updated
04/07/2026
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