Organization
OUR CHILD THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MASHE MOSHE (OWNER)
(848) 226-4806
Entity
Organization
Contact information
Practice address
211 BLVD OF THE AMERICAS, SUITE 303, LAKEWOOD, NJ 08701
(917) 974-9300
Mailing address
211 BLVD OF THE AMERICAS, SUITE 303, LAKEWOOD, NJ 08701
(917) 974-9300
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
106E00000X
Assistant Behavior Analyst
—
—
106S00000X
Behavior Technician
—
—
Other
Enumeration date
02/01/2023
Last updated
10/25/2023
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