OrganizationActive
Standard Residential Care LLC
NPI 1245836287 · Adult Development & Aging Psychologist · Maplewood, NJ
Provider details
- NPI number
- 1245836287
- Entity type
- Organization
- Primary specialty
- Adult Development & Aging PsychologistBehavioral Health & Social Service Providers
- Organization subpart
- No
- Authorized official
- Bebytho Timothe, Managing Member(862) 684-0895
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
92 Burnett Ave Apt 306
Maplewood, NJ 07040-2984
Phone: (862) 684-0895
Approximate (ZIP-level) locationGet directions
Mailing address
92 Burnett Ave Apt 306
Maplewood, NJ 07040-2984
Registry dates
- Enumerated
- 2020-12-07
- Last updated
- 2025-09-11
- Certified
- 2020-12-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.