Provider Demographics
NPI:1124753629
Name:VIRAN INTEGRATIVE THERAPY SERVICES
Entity type:Organization
Organization Name:VIRAN INTEGRATIVE THERAPY SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/BCBA
Authorized Official - Prefix:
Authorized Official - First Name:VERA
Authorized Official - Middle Name:
Authorized Official - Last Name:VIRAN
Authorized Official - Suffix:
Authorized Official - Credentials:BCBA
Authorized Official - Phone:908-798-1708
Mailing Address - Street 1:213 CHURCH ST
Mailing Address - Street 2:
Mailing Address - City:SOUTH PLAINFIELD
Mailing Address - State:NJ
Mailing Address - Zip Code:07080-3411
Mailing Address - Country:US
Mailing Address - Phone:908-798-1708
Mailing Address - Fax:
Practice Address - Street 1:213 CHURCH ST
Practice Address - Street 2:
Practice Address - City:SOUTH PLAINFIELD
Practice Address - State:NJ
Practice Address - Zip Code:07080-3411
Practice Address - Country:US
Practice Address - Phone:908-798-1708
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-07-19
Last Update Date:2022-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty