Cutting Edge Aba
Pediatrics, Developmental - Behavioral Pediatrics in Toms River, NJ. Organization (NPI-2).
NPI number1710698816
StatusActive
Last updated in NPPESDec 9, 2022
Details
- NPI
- 1710698816
- Entity type
- Organization (NPI-2)
- Legal business name
- Cutting Edge Aba
- Organization subpart
- No
- Enumeration date
- Dec 9, 2022
- Certification date
- Dec 9, 2022
- Last updated
- Dec 9, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2080P0006X | Pediatrics, Developmental - Behavioral Pediatrics | – | – | Yes |
Practice location
30 Sherwood LnToms River, NJ 08757-4406
Phone 929-466-1305
Mailing address
30 Sherwood LnToms River, NJ 08757-4406
Phone 929-466-1305
Authorized official
Brett Coulter
Contracting
9294661305
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