| NPI | 1164930475 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE LYNN SIEBERT Behavior Analyst 908-217-3076 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: NJ 1-15-20072) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: NJ 1-15-19595) |
| Enumeration Date | 2018-01-21 |
| Last Update Date | 2023-07-17 |