Healthcare Provider Details

I. General information

NPI: 1124819941
Provider Name (Legal Business Name): ACHIEVING STARS THERAPY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/13/2025
Last Update Date: 05/13/2025
Certification Date: 05/13/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1400 HOOPER AVE STE 2
TOMS RIVER NJ
08753-2981
US

IV. Provider business mailing address

1400 HOOPER AVE STE 2
TOMS RIVER NJ
08753-2981
US

V. Phone/Fax

Practice location:
  • Phone: 929-659-8736
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number State

VIII. Authorized Official

Name: JACOB JACOBOWITZ
Title or Position: DIRECTOR
Credential:
Phone: 929-659-8736