NPI 1063984979

Ethan and the Bean a New Jersey Non Profit Corporation

Organisation Day Training/Habilitation Specialist West Caldwell, NJ

Practice location

Address: 31 Fairfield Avenue, West Caldwell, NJ 07006
Phone: (973) 303-9678
Mailing address: 174 Forest Avenue, West Caldwell, NJ 07006

Authorised official

Name: Pamela Donovan
Title: President
Phone: (908) 403-5789

Registered specialties (6)

Day Training/Habilitation Specialist Primary

Nursing Service Related Providers Taxonomy 373H00000X

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Assistant Behavior Analyst

Behavioral Health & Social Service Providers Taxonomy 106E00000X

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Reflexologist

Other Service Providers Taxonomy 173C00000X

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Occupational Therapist

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225X00000X

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Speech-Language Pathologist

Speech, Language and Hearing Service Providers Taxonomy 235Z00000X

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Home Health Aide

Nursing Service Related Providers Taxonomy 374U00000X

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Registry record

NPI: 1063984979
Entity type: Organization
NPI issued: 18 Dec 2018
Record last updated: 18 Dec 2018

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.