Organization
ACHIEVE BEHAVIORAL THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MALKA NUSSBAUM BCBA (OWNER)
(908) 910-2924
Entity
Organization
Contact information
Practice address
126 MELVILLE AVE, LAKEWOOD, NJ 08701-4235
(908) 910-2924
Mailing address
126 MELVILLE AVE, LAKEWOOD, NJ 08701-4235
(908) 910-2924
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-12-12337
FL
Other
Enumeration date
05/09/2013
Last updated
05/09/2013
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