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Organization

SUNSHINE ADVANTAGE OF NJ LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MIRIAM LICHTSCHEIN (MEMBER)
(732) 840-3828
Entity
Organization

Contact information

Practice address
1439 SOUTH ST, LAKEWOOD, NJ 08701-5440
(855) 523-2327
Mailing address
1439 SOUTH ST, LAKEWOOD, NJ 08701-5440
(347) 224-1644

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
106E00000X
Assistant Behavior Analyst
106S00000X
Behavior Technician
222Q00000X
Developmental Therapist
225100000X
Physical Therapist
225X00000X
Occupational Therapist
235Z00000X
Speech-Language Pathologist
252Y00000X
Early Intervention Provider Agency
261Q00000X
Clinic/Center

Other

Enumeration date
04/20/2020
Last updated
01/23/2026
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