Organization
GOLDENCARE THERAPY LICENSED BEHAVIOR ANALYST PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ESTEE ROTHSTEIN (MEMBER)
(732) 886-9055
Entity
Organization
Contact information
Practice address
5 RAVEN LANE, LAKEWOOD, NJ 08701
(732) 886-9055
Mailing address
5 RAVEN LN, LAKEWOOD, NJ 08701-4968
(732) 886-9055
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
11313741
NJ
251S00000X
Community/Behavioral Health Agency
Primary
000786
NY
Other
Enumeration date
04/21/2016
Last updated
04/10/2023
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