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JENNIFER BAKER LLC NPI 1962935726


NPI Information

NPI: 1962935726
Provider Name: JENNIFER BAKER, LLC

Doing Business As: ACTIVE THERAPEUTIC SOLUTIONS

Classification: Community/Behavioral Health - 251S00000X
Entity Type: Organization
Address:
1044 LACEY RD
FORKED RIVER, NJ
ZIP 08731
Phone: (732) 581-2178
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JENNIFER BAKER, LLC is a community behavioral health in Forked River, NJ. The provider is a private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. JENNIFER BAKER, LLC NPI is 1962935726. The provider is registered as an organization entity type.
The provider Is Doing Business As Active Therapeutic Solutions.

The provider's business location address is:

1044 LACEY RD
FORKED RIVER, NJ
ZIP 08731-051
Phone: (732) 581-2178
Fax: (609) 971-3767

The provider's authorized official is Jennifer Baker .
The authorized official title is Owner and has the following contact phone number (732) 581-2178.

The enumeration date for this NPI number is 4/9/2017 and was last updated on 4/9/2017.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1251S00000XCommunity/Behavioral Health37PC00480700NEW JERSEYYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
10542962MEDICAIDNEW JERSEY

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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