Active NPIOrganization

Ethan And The Bean A New Jersey Non Profit Corporation

Day Training/Habilitation Specialist in West Caldwell, New Jersey

NPI Number1063984979
Practice location
31 Fairfield Avenue, West Caldwell, NJ 07006
Fax
—
Last updated
December 18, 2018

Ethan And The Bean A New Jersey Non Profit Corporation is a healthcare organization based in West Caldwell, NJ. Ethan And The Bean A New Jersey Non Profit Corporation practices in West Caldwell, NJ. The NPI Number for Ethan And The Bean A New Jersey Non Profit Corporation is 1063984979. The current practice location address for Ethan And The Bean A New Jersey Non Profit Corporation is 31 Fairfield Avenue, West Caldwell, NJ 07006 and can be reached out via phone at 973-303-9678.

Provider Profile Details

NPI Number
1063984979
Provider Name
Ethan And The Bean A New Jersey Non Profit Corporation
Provider Entity Type
Organization
Address
31 Fairfield Avenue, West Caldwell, NJ 07006
Phone Number
973-303-9678
Primary Taxonomy
Day Training/Habilitation Specialist · 373H00000X
Organization Subpart
No
Authorized Official
Mrs. Pamela Donovan · President · 908-403-5789
Provider Enumeration Date
December 18, 2018
Last Update Date
December 18, 2018
NPI Status
Active

Provider Business Practice Location Address Details

Address
31 Fairfield Avenue
West Caldwell, NJ 07006
Zip
07006
Phone Number
973-303-9678
West Caldwell, NJ 07006Get directions →

Provider Business Mailing Address Details

Address
174 Forest Avenue
West Caldwell, NJ 07006
City
West Caldwell
State
NJ
Zip
07006
Phone Number
973-303-9678

License Information

Taxonomy (1)
Assistant Behavior Analyst · 106E00000X
Taxonomy (2)
Reflexologist · 173C00000X
Taxonomy (3)
Occupational Therapist · 225X00000X
Taxonomy (4)
Speech-Language Pathologist, · 235Z00000X
Taxonomy (5)
Home Health Aide · 374U00000X
Taxonomy (6)
Day Training/Habilitation Specialist · 373H00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Ethan And The Bean A New Jersey Non Profit Corporation?

The NPI number of Ethan And The Bean A New Jersey Non Profit Corporation is 1063984979. It was assigned on December 18, 2018 and is currently active in the NPPES registry.

What is the specialty of Ethan And The Bean A New Jersey Non Profit Corporation?

Ethan And The Bean A New Jersey Non Profit Corporation is registered under the primary taxonomy Day Training/Habilitation Specialist (code 373H00000X).

Where does Ethan And The Bean A New Jersey Non Profit Corporation practice?

The practice location is 31 Fairfield Avenue, West Caldwell, NJ 07006. The office can be reached at 973-303-9678 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1063984979 directly on the NPPES registry website.

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