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NPI Code Detail

MEDICARE: MAICA WEIJEN MUELLER

MEDICARE: MAICA WEIJEN MUELLER
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
1101Y00000XCounselorRBT-15-07749VA
2103K00000XBehavior Analyst0133001048VA

General Provider Information

NPI Number : 1457702284
Entity Type Code : Individual
Provider Name (Legal Business Name) : MAICA WEIJEN MUELLER
Provider Business Mailing Address
First Line : 850 TOWBIN AVE
Second Line :
City : LAKEWOOD
State : NJ
Zip : 08701-5928
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 850 TOWBIN AVE STE B
Second Line :
City : LAKEWOOD
State : NJ
Zip : 08701-5928
Country : US
Telephone Number : 833-599-2560
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/22/2016
Last Update Date : 08/28/2024

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Directions to “ MAICA WEIJEN MUELLER ” Practice Location

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