Healthcare Provider Details

I. General information

NPI: 1184339863
Provider Name (Legal Business Name): DAAS THERAPY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/17/2023
Last Update Date: 08/31/2023
Certification Date: 08/31/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 KINGSFIELD DR
LAKEWOOD NJ
08701-3274
US

IV. Provider business mailing address

100 KINGSFIELD DR
LAKEWOOD NJ
08701-3274
US

V. Phone/Fax

Practice location:
  • Phone: 732-749-0733
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number State

VIII. Authorized Official

Name: NOHUM MONOSOV
Title or Position: CEO
Credential: MS ED BCBA
Phone: 732-749-0733