Organization · NPI-2

Creative Care Therapy Services LLC

Behavior Analyst · Toms River, NJ

NPI number1093491813

StatusActive

Last updated in NPPESSep 17, 2024

Details

NPI: 1093491813
Entity type: Organization (NPI-2)
Legal business name: Creative Care Therapy Services LLC
Organization subpart: No
Enumeration date: Jun 26, 2023
Certification date: Sep 17, 2024
Last updated: Sep 17, 2024

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
103K00000X	Behavior Analyst	–	–	Yes
103T00000X	Psychologist	–	–
104100000X	Social Worker	–	–
1041C0700X	Social Worker, Clinical	–	–
1041S0200X	Social Worker, School	–	–
222Q00000X	Developmental Therapist	–	–
225100000X	Physical Therapist	–	–
225X00000X	Occupational Therapist	–	–
235Z00000X	Speech-Language Pathologist,	–	–

Practice location

75 Cox Cro Rd
Toms River, NJ 08755-0952

Phone 551-258-4077

Mailing address

75 Cox Cro Rd
Toms River, NJ 08755-0952

Other practice locations

3618 Glen Ave
Baltimore, MD 21215-3536

Phone 551-258-4077

Authorized official

Gittel Fishman
Owner
5512584077

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