Organization
CRYSTALCARE ABA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ESTHER ELLINSON (OWNER)
(732) 609-7624
Entity
Organization
Contact information
Practice address
6A HILL TOP CT, LAKEWOOD, NJ 08701-2378
(732) 609-7624
Mailing address
6A HILL TOP CT, LAKEWOOD, NJ 08701-2378
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Enumeration date
08/29/2022
Last updated
08/29/2022
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