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Organization

STRIVE PEDIATRIC THERAPY

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JULIE POLANCO BCBA (OWNER)
(347) 415-7049
Entity
Organization

Contact information

Practice address
2304 BRUNSWICK AVE, LAWRENCE TOWNSHIP, NJ 08648-4411
(888) 222-2645
Mailing address
23204 OSPREY WAY, WEST WINDSOR, NJ 08550-5472
(347) 415-7049

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1046853
NJ
Enumeration date
04/08/2024
Last updated
12/12/2024
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