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NPI Code Detail

MEDICARE: GO GROW 1 INC

MEDICARE: GO GROW 1 INC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1103K00000XBehavior Analyst

General Provider Information

NPI Number : 1184509150
Entity Type Code : Organization
Provider Name (Legal Business Name) : GO GROW 1 INC
Provider Business Mailing Address
First Line : 28 VALLEY RD STE 1
Second Line :
City : MONTCLAIR
State : NJ
Zip : 07042-2709
Country : US
Telephone Number : 914-746-1068
Fax Number :
Provider Business Practice Location Address
First Line : 28 VALLEY RD STE 1
Second Line :
City : MONTCLAIR
State : NJ
Zip : 07042-2709
Country : US
Telephone Number : 914-746-1068
Fax Number :
Authorized Official
Title or Position : DIRECTOR
Name : MR. JACOB MEISELS
Credential :
Telephone Number : 845-502-6571
Provider Enumeration Date : 08/08/2025
Last Update Date : 04/13/2026

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Directions to “GO GROW 1 INC ” Practice Location

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