| NPI | 1013717875 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOCELYN THOMAS Biller 201-241-0079 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2025-03-19 |
| Last Update Date | 2025-03-19 |