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1578320271
ILLUMINATE CARE ABA LLC
LAKEWOOD, NJ
NPI
1578320271
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Entity Type
Organization
Authorized Contact
ISAAC WEINBERGER
Manager
646-671-3833
Organization Subpart ?
No
Primary Taxonomy
252Y00000X Early Intervention Provider Agency
Enumeration Date
2024-02-29
Last Update Date
2024-03-04
Business Address
ILLUMINATE CARE ABA LLC
215 RIDGE AVE
LAKEWOOD, NJ 08701-3447
Phone number: 646-671-3833
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Mailing Address
ILLUMINATE CARE ABA LLC
215 RIDGE AVE
LAKEWOOD, NJ 08701-3447
Phone number: 646-671-3833
Copy
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