MEDICARE: TBE GLOBAL LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	251C00000X	Developmentally Disabled Services Day Training Agency
2	251S00000X	Community/Behavioral Health Agency
3	251X00000X	Supports Brokerage Agency

General Provider Information

NPI Number	:	1932634888
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TBE GLOBAL LLC

Provider Business Mailing Address
First Line	:	PO BOX 55396
Second Line	:
City	:	TRENTON
State	:	NJ
Zip	:	08638-6396
Country	:	US
Telephone Number	:	609-436-0053
Fax Number	:

Provider Business Practice Location Address
First Line	:	3525 QUAKERBRIDGE RD STE 903
Second Line	:
City	:	HAMILTON
State	:	NJ
Zip	:	08619-1266
Country	:	US
Telephone Number	:	609-436-0053
Fax Number	:

Authorized Official
Title or Position	:	FOUNDER
Name	:	MRS. VERILY HARRIS-HARPER
Credential	:	LPC, NCC
Telephone Number	:	609-436-0053

Provider Enumeration Date	:	04/28/2017
Last Update Date	:	04/28/2017

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