Healthcare Provider Details
I. General information
NPI: 1013625441
Provider Name (Legal Business Name): LOVE SPEAKS IN A MILLION WAYS LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 11/15/2022
Last Update Date: 11/15/2022
Certification Date: 11/15/2022
Deactivation Date:
Reactivation Date:
III. Provider practice location address
9 DAVIDS LN
HOWELL NJ
07731-2863
US
IV. Provider business mailing address
9 DAVIDS LN
HOWELL NJ
07731-2863
US
V. Phone/Fax
- Phone: 732-986-3541
- Fax:
- Phone: 732-986-3541
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 103K00000X |
| Taxonomy | Behavior Analyst |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 106E00000X |
| Taxonomy | Assistant Behavior Analyst |
| License Number | |
| License Number State | |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 106S00000X |
| Taxonomy | Behavior Technician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
JODI
RAYHON
Title or Position: FOUNDER
Credential: BCBA
Phone: 732-986-3541