Gold Heart Aba LLC
NPI #1346920162 in Jackson, New Jersey
Provider Information
- NPI Number
- 1346920162
- Entity Type
- Organization
- Organization Name
- Gold Heart Aba LLC
- Primary Specialty
- Behavior Analyst
- Enumeration Date
- Jul 18, 2023
- Last Updated
- Dec 21, 2023
Practice Location
- Address
- 5 MACINTOSH CT
- City
- Jackson
- State
- New Jersey
- ZIP Code
- 08527-1176
- Phone
- (631) 507-7643
Authorized Official
- Name
- YEHOUSHUA TYBERG
- Title
- OWNER
- Phone
- (631) 507-7643
Specialties & Taxonomy Codes
| Specialty |
|---|
| Behavior Technician |
| Community/Behavioral Health |
| Behavior Analyst |
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