| NPI | 1144770140 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIAM WALKIN Sole Mbr 732-228-2521 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 104100000X Social Worker |
| 225X00000X Occupational Therapist | |
| 235Z00000X Speech-Language Pathologist, | |
| Enumeration Date | 2016-10-13 |
| Last Update Date | 2016-10-13 |