Accomplish 4.0 LLC
Organization Active NPI Behavior Analyst · Lakewood, NJ
NPI 1669010534 · NPPES record last updated Dec 11, 2019
Key facts
- NPI
- 1669010534
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Behavior Analyst 103K00000X
- Legal business name
- ACCOMPLISH 4.0 LLC
- Practice address
- 126 Melville Ave
Lakewood, NJ 08701-4235 - Phone
- (732) 886-8113
- Fax
- (732) 886-8113
- NPI assigned
- Dec 11, 2019
- Organization subpart
- No
Authorized official
- Name
- Malkie Nussbaum, MS BCBA
- Title
- President
- Phone
- (732) 886-8113
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst |
103K00000X | Yes |
Addresses
Primary practice location
126 Melville Ave
Lakewood, NJ 08701-4235
Mailing address
126 Melville Ave
Lakewood, NJ 08701-4235
Phone (732) 886-8113
Other names
- MINIMINE
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All providers in Lakewood, NJ · Behavior Analyst in New Jersey
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 11, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.