Organization
CLOVER CARE ABA LLC
Active
Other names
Clover Care ABA
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SAM GOTTLIEB (EMPLOYEE)
(848) 240-2147
Entity
Organization
Contact information
Practice address
180 MILLER RD, LAKEWOOD, NJ 08701-2332
(848) 240-2147
(732) 730-9661
Mailing address
180 MILLER RD, LAKEWOOD, NJ 08701-2332
(848) 240-2147
(732) 730-9661
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
08/28/2024
Last updated
08/28/2024
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