NPI | 1063994184 |
---|---|
Entity Type | Organization |
Authorized Contact | SEAN NUSSBAUM Owner 732-930-1255 |
Organization Subpart ? | No |
Primary Taxonomy | 103K00000X Behavior Analyst |
Additional Taxonomies | 103TB0200X Psychologist, Cognitive & Behavioral |
103TM1800X Psychologist, Intellectual & Developmental Disabilities | |
103TP2701X Psychologist, Group Psychotherapy | |
104100000X Social Worker | |
1041C0700X Social Worker, Clinical | |
1041S0200X Social Worker, School | |
106E00000X Assistant Behavior Analyst | |
106S00000X Behavior Technician | |
235Z00000X Speech-Language Pathologist, | |
Enumeration Date | 2018-09-05 |
Last Update Date | 2019-04-10 |