Organization
SOAR CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BILL TEICHMAN (MEMBER)
(323) 244-5176
Entity
Organization
Contact information
Practice address
255 HIGHWAY 70, TOMS RIVER, NJ 08755-1026
(732) 813-7627
Mailing address
2360 RT 9, STE 3, SUIT 102, TOMS RIVER, NJ 08755-1933
(323) 244-5176
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
104100000X
Social Worker
—
—
106S00000X
Behavior Technician
—
—
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
—
261QP2000X
Physical Therapy Clinic/Center
—
—
Other
Enumeration date
11/21/2024
Last updated
11/26/2024
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