Organization
STUDENT OF KNOWLEDGE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TIANAH CHAMBERS M.A (OWNER/ DIRECTOR)
(973) 619-8693
Entity
Organization
Contact information
Practice address
508 S JEFFERSON ST, ORANGE, NJ 07050-1215
(973) 619-8693
Mailing address
508 S JEFFERSON ST, ORANGE, NJ 07050-1215
(973) 619-8693
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
948789
NJ
Other
Enumeration date
12/18/2017
Last updated
06/16/2018
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