Healthcare Provider Details

I. General information

NPI: 1093115073
Provider Name (Legal Business Name): THE PUZZLE PLACE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/27/2014
Last Update Date: 11/20/2024
Certification Date: 11/20/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3425 US HIGHWAY 9
FREEHOLD NJ
07728-3284
US

IV. Provider business mailing address

3425 US HIGHWAY 9
FREEHOLD NJ
07728-3554
US

V. Phone/Fax

Practice location:
  • Phone: 732-994-7899
  • Fax:
Mailing address:
  • Phone: 732-994-7899
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number State

VIII. Authorized Official

Name: RIVKA TEICHMAN
Title or Position: DIRECTOR
Credential: BCBA
Phone: 732-994-7899