| NPI | 1083500490 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YEHOUSHUA TYBERG Director 732-813-5603 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 106S00000X Behavior Technician |
| 251S00000X Community/Behavioral Health | |
| Enumeration Date | 2025-06-13 |
| Last Update Date | 2025-06-13 |