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General NPI Number Information
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NPI Number | 1063217602
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Entity Type | Organization
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Legal Business Name | GOLDEN HARTZ ABA NJ LLC
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Dates
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Enumeration Date | 02/18/2025
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Last Update Date | 04/02/2025
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Provider Practice Location Address
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Address Line | 1400 HOOPER AVE STE 200
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City | TOMS RIVER
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State | NJ
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Zip | 08753-2981
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Country | US
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Telephone | 718-500-3299
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Fax |
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Provider Business Mailing Address
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Address Line | 1273 46TH ST STE 105
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City | BROOKLYN
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State | NY
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Zip | 11219-2027
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Country | US
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Telephone | 718-500-3299
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MR. JEUDA BERKOWITZ
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Credential |
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Telephone | 718-500-3299
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number |
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License Number State |
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