Organization
JERSEY ASSOCIATION FOR AUTISTIC CHILDREN- BRAINBUILDERS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHEVY NUSSBAUM DIRECTOR (DIRECTOR)
(732) 534-5342
Entity
Organization
Contact information
Practice address
761 RIVER AVE STE D, LAKEWOOD, NJ 08701-5200
(732) 534-5342
Mailing address
761 RIVER AVE STE D, LAKEWOOD, NJ 08701-5200
(732) 534-5342
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
000
NJ
Other
Enumeration date
11/09/2011
Last updated
07/21/2022
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