Organization
SKILLASTIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RIVKA KANAREK (MANAGER)
(914) 734-8171
Entity
Organization
Contact information
Practice address
500 SUMMER AVE, LAKEWOOD, NJ 08701-4616
(845) 548-2857
Mailing address
11 MIDTOWN CIR, LAKEWOOD, NJ 08701-7604
(845) 548-2857
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
—
—
225100000X
Physical Therapist
—
—
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
09/12/2013
Last updated
01/12/2015
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