Organization
MAKING CHANGES NJ LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GRACE RIVERA M. ED., BCBA (OWNER)
(973) 865-6410
Entity
Organization
Contact information
Practice address
16 ATEN COURT, BUTLER, NJ 07405
(973) 865-6410
(866) 468-8320
Mailing address
16 ATEN COURT, BUTLER, NJ 07405
(973) 865-6410
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
0-04-1518
—
103K00000X
Behavior Analyst
Primary
—
—
235Z00000X
Speech-Language Pathologist
—
—
251S00000X
Community/Behavioral Health Agency
—
—
Other
Enumeration date
01/20/2014
Last updated
03/07/2023
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