Organization
BRIGHT SIDE OF THE MOON LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. NICOLE LEMPA BCBA (OWNER/BCBA)
(732) 644-3912
Entity
Organization
Contact information
Practice address
3431 BRIDGE AVE, UNIT 20, POINT PLEASANT BORO, NJ 08742-2745
(732) 644-3912
Mailing address
3431 BRIDGE AVE, UNIT 20, POINT PLEASANT BORO, NJ 08742-2745
(732) 644-3912
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
1-11-9018
—
Other
Enumeration date
05/27/2016
Last updated
05/27/2016
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