MEDICARE: INTELLAPLAY MD LLC

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
1	103K00000X	Behavior Analyst

General Provider Information

NPI Number	:	1891593026
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	INTELLAPLAY MD LLC

Provider Business Mailing Address
First Line	:	58 WADSWORTH AVE
Second Line	:
City	:	LAKEWOOD
State	:	NJ
Zip	:	08701-6136
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	3901 CALVERTON BLVD STE 250
Second Line	:
City	:	CALVERTON
State	:	MD
Zip	:	20705-3407
Country	:	US
Telephone Number	:	203-299-2499
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	ISRAEL KARMEL
Credential	:
Telephone Number	:	203-299-2499

Provider Enumeration Date	:	03/04/2025
Last Update Date	:	03/04/2025

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Directions to “INTELLAPLAY MD LLC ” Practice Location

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