Organization
ULTIMATE GOAL INDEPENDENCE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STACY ADIEZE BCBA (CLINICAL DIRECTOR)
(609) 379-1352
Entity
Organization
Contact information
Practice address
523 1ST AVE, BELLMAWR, NJ 08031-1410
(609) 379-1352
Mailing address
523 1ST AVE, BELLMAWR, NJ 08031-1410
(609) 379-1352
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
01/17/2026
Last updated
01/17/2026
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