Healthcare Provider Details

I. General information

NPI: 1174233985
Provider Name (Legal Business Name): OVERCOMING LIMITATIONS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/02/2022
Last Update Date: 01/21/2025
Certification Date: 01/21/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

513 LAFAYETTE AVE
TOMS RIVER NJ
08753-7720
US

IV. Provider business mailing address

513 LAFAYETTE AVE
TOMS RIVER NJ
08753-7720
US

V. Phone/Fax

Practice location:
  • Phone: 732-232-1295
  • Fax:
Mailing address:
  • Phone: 732-232-1295
  • 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 Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: JILLIAN M CIAMBRONE
Title or Position: BEHAVIOR ANALYST
Credential: BCBA
Phone: 732-604-5807