Healthcare Provider Details

I. General information

NPI: 1558204396
Provider Name (Legal Business Name): WARRIOR GAINS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/14/2026
Last Update Date: 06/20/2026
Certification Date: 06/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

31 MINEBROOK RD
EDISON NJ
08820-3360
US

IV. Provider business mailing address

31 MINEBROOK RD
EDISON NJ
08820-3360
US

V. Phone/Fax

Practice location:
  • Phone: 848-359-9130
  • Fax:
Mailing address:
  • Phone: 848-359-9130
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251C00000X
TaxonomyDevelopmentally Disabled Services Day Training Agency
License Number
License Number State

VIII. Authorized Official

Name: KYMAR BARNES
Title or Position: WELLNESS COACH
Credential:
Phone: 848-359-9130