| 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 |