Provider Demographics
NPI:1891465258
Name:WELL BE INCORPORATED
Entity Type:Organization
Organization Name:WELL BE INCORPORATED
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:JUSTYNE
Authorized Official - Middle Name:
Authorized Official - Last Name:ULDSCHMIDT
Authorized Official - Suffix:
Authorized Official - Credentials:RBT
Authorized Official - Phone:609-864-5839
Mailing Address - Street 1:776 WYNGATE RD
Mailing Address - Street 2:
Mailing Address - City:SOMERDALE
Mailing Address - State:NJ
Mailing Address - Zip Code:08083-2413
Mailing Address - Country:US
Mailing Address - Phone:609-864-5839
Mailing Address - Fax:
Practice Address - Street 1:776 WYNGATE RD
Practice Address - Street 2:
Practice Address - City:SOMERDALE
Practice Address - State:NJ
Practice Address - Zip Code:08083-2413
Practice Address - Country:US
Practice Address - Phone:609-864-5839
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-09-16
Last Update Date:2022-05-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Multi-Specialty
No103G00000XBehavioral Health & Social Service ProvidersClinical NeuropsychologistGroup - Multi-Specialty
No106E00000XBehavioral Health & Social Service ProvidersAssistant Behavior AnalystGroup - Multi-Specialty
No106S00000XBehavioral Health & Social Service ProvidersBehavior TechnicianGroup - Multi-Specialty