Organization
SUNSHINE ADVANTAGE OF NC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MIRIAM LICHTSCHEIN (MEMBER)
(347) 971-0039
Entity
Organization
Contact information
Practice address
421 FAYETTEVILLE ST STE 1100, RALEIGH, NC 27601-3000
(347) 971-0039
Mailing address
1439 SOUTH ST, LAKEWOOD, NJ 08701-5440
(347) 971-0039
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
251S00000X
Community/Behavioral Health Agency
—
—
Other
Enumeration date
01/11/2024
Last updated
12/16/2024
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