Provider Demographics
NPI:1477070761
Name:BEST PRACTICES BHOM
Entity Type:Organization
Organization Name:BEST PRACTICES BHOM
Other - Org Name:BEST PRACTICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:DANIELLE
Authorized Official - Middle Name:
Authorized Official - Last Name:RUDEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:609-916-6402
Mailing Address - Street 1:81 CROOKED STICK RD
Mailing Address - Street 2:
Mailing Address - City:JACKSON
Mailing Address - State:NJ
Mailing Address - Zip Code:08527-4032
Mailing Address - Country:US
Mailing Address - Phone:609-916-6400
Mailing Address - Fax:732-358-0829
Practice Address - Street 1:81 CROOKED STICK RD
Practice Address - Street 2:
Practice Address - City:JACKSON
Practice Address - State:NJ
Practice Address - Zip Code:08527-4032
Practice Address - Country:US
Practice Address - Phone:848-218-0790
Practice Address - Fax:732-358-0829
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-08-28
Last Update Date:2024-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ44SC056755001041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ44SC05675500OtherLICENSED CLINICAL SOCIAL WORKER