OrganizationActive
Ethan and the Bean a New Jersey Non Profit Corporation
NPI 1063984979 · Day Training/Habilitation Specialist · West Caldwell, NJ
Provider details
- NPI number
- 1063984979
- Entity type
- Organization
- Primary specialty
- Day Training/Habilitation SpecialistNursing Service Related Providers
- Organization subpart
- No
- Authorized official
- Pamela Donovan, President(908) 403-5789
Specialties & taxonomies
Nursing Service Related Providers
- Assistant Behavior Analyst106E00000X
Behavioral Health & Social Service Providers
- Reflexologist173C00000X
Other Service Providers
- Occupational Therapist225X00000X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
- Speech-Language Pathologist235Z00000X
Speech, Language and Hearing Service Providers
- Home Health Aide374U00000X
Nursing Service Related Providers
Practice location
31 Fairfield Avenue
West Caldwell, NJ 07006
Phone: (973) 303-9678
Approximate (ZIP-level) locationGet directions
Mailing address
174 Forest Avenue
West Caldwell, NJ 07006
Registry dates
- Enumerated
- 2018-12-18
- Last updated
- 2018-12-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.