Healthcare Provider Details

I. General information

NPI: 1396632063
Provider Name (Legal Business Name): THE ZIGZAG FLOW INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/23/2025
Last Update Date: 06/30/2025
Certification Date: 06/30/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

380 MOUNTAIN LAKE RD
GREAT MEADOWS NJ
07838-2348
US

IV. Provider business mailing address

380 MOUNTAIN LAKE RD
GREAT MEADOWS NJ
07838-2348
US

V. Phone/Fax

Practice location:
  • Phone: 908-399-9014
  • Fax:
Mailing address:
  • Phone: 908-399-9014
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2080P0006X
TaxonomyDevelopmental - Behavioral Pediatrics Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code222Q00000X
TaxonomyDevelopmental Therapist
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code225XP0200X
TaxonomyPediatric Occupational Therapist
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code261QM0855X
TaxonomyAdolescent and Children Mental Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: NATALIE KITTS
Title or Position: FOUNDER/CEO
Credential: OTR
Phone: 908-399-9014