Healthcare Provider Details

I. General information

NPI: 1831983253
Provider Name (Legal Business Name): GENESIS CONSULTING FIRM LLP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/09/2025
Last Update Date: 04/09/2025
Certification Date: 04/09/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13 W FRONT ST
TRENTON NJ
08608-2009
US

IV. Provider business mailing address

168 MILLBROOK DR
WILLINGBORO NJ
08046-2837
US

V. Phone/Fax

Practice location:
  • Phone: 609-230-1989
  • Fax:
Mailing address:
  • Phone: 609-230-1989
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code106E00000X
TaxonomyAssistant Behavior Analyst
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number State

VIII. Authorized Official

Name: VALERIE N/A BOSLEY
Title or Position: PRESIDENT
Credential:
Phone: 609-230-1989