Organization
HIDDEN LIGHT ABA TX LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BORUCH STEFANSKY (OWNER)
(732) 228-3417
Entity
Organization
Contact information
Practice address
6575 WEST LOOP S STE 500, BELLAIRE, TX 77401-3509
(732) 228-3417
Mailing address
77 ASPEN CT, LAKEWOOD, NJ 08701-4331
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
03/20/2024
Last updated
07/02/2024
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