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NPI 1306603204

NPI 1306603204 : SILVERSWING ABA NJ LLC : TOMS RIVER, NJ

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General NPI Number Information
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    NPI Number           |    1306603204
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    Entity Type          |    Organization 
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    Legal Business Name  |    SILVERSWING ABA NJ LLC 
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Dates
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    Enumeration Date     |    03/06/2024
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    Last Update Date     |    11/05/2025
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Provider Practice Location Address
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    Address Line         |    1400 HOOPER AVE STE 2 
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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            |    732-783-4428
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    4 FRANKLIN PL 
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    City                 |    WOODMERE
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    State                |    NY
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    Zip                  |    11598-1265
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    Country              |    US
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    Telephone            |    
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    Fax                  |    
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Authorized Official
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    Title or Position    |    DIRECTOR
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    Name                 |     YOSEF  MOSKOWITZ 
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    Credential           |    
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    Telephone            |    732-783-4428
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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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