Provider Demographics
NPI:1346045226
Name:AT PEACE CARE, LLC
Entity type:Organization
Organization Name:AT PEACE CARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BCBA
Authorized Official - Prefix:MRS
Authorized Official - First Name:TALIA
Authorized Official - Middle Name:DANESHA
Authorized Official - Last Name:CALLAWAY
Authorized Official - Suffix:
Authorized Official - Credentials:BCBA
Authorized Official - Phone:609-402-2720
Mailing Address - Street 1:574 GREAT BEDS CT
Mailing Address - Street 2:
Mailing Address - City:PERTH AMBOY
Mailing Address - State:NJ
Mailing Address - Zip Code:08861-5203
Mailing Address - Country:US
Mailing Address - Phone:732-213-2749
Mailing Address - Fax:609-374-9166
Practice Address - Street 1:574 GREAT BEDS CT
Practice Address - Street 2:
Practice Address - City:PERTH AMBOY
Practice Address - State:NJ
Practice Address - Zip Code:08861-5203
Practice Address - Country:US
Practice Address - Phone:732-213-2749
Practice Address - Fax:609-374-9166
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-02-15
Last Update Date:2025-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty