Organization
OUR CHILD THERAPY NC LLC
Active
Parent organization
OUR CHILD THERAPY
Organization subpart
Yes
Provider details
NPI number
Legal business name
OUR CHILD THERAPY
Authorized official
MASHE MOSHE (OWNER)
(848) 226-4806
Entity
Organization
Contact information
Practice address
4801 GLENWOOD AVE STE 200, RALEIGH, NC 27612-3857
(917) 974-9300
Mailing address
211 BOULEVARD OF THE AMERICAS, 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
08/11/2022
Last updated
10/25/2023
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