Organization
YOUR INNER RAINBOW LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. PAOLA PATTON (CEO)
(732) 675-3001
Entity
Organization
Contact information
Practice address
16 CATHEDRAL AVE, NUTLEY, NJ 07110-1109
(732) 675-3001
Mailing address
16 CATHEDRAL AVE, NUTLEY, NJ 07110-1109
(732) 675-3001
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
261QH0700X
Hearing and Speech Clinic/Center
—
—
261QX0100X
Occupational Medicine Clinic/Center
—
—
Other
Enumeration date
06/05/2024
Last updated
06/05/2024
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