Organization
INNOVATIVE THERAPY GROUP
Active
Other names
ITG
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SHMUEL SICKER (OWNER)
(732) 523-0531
Entity
Organization
Contact information
Practice address
3492 BENDEMEER RD, CLEVELAND HEIGHTS, OH 44118-1913
(917) 485-1519
Mailing address
3492 BENDEMEER RD, CLEVELAND HEIGHTS, OH 44118-1913
(917) 485-1519
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
261QM1300X
Multi-Specialty Clinic/Center
—
—
Other
Enumeration date
06/22/2021
Last updated
06/22/2021
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