| NPI | 1306356019 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHAYA FURST Director 732-930-1255 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 225100000X Physical Therapist |
| 225X00000X Occupational Therapist | |
| 235Z00000X Speech-Language Pathologist, | |
| Enumeration Date | 2017-10-08 |
| Last Update Date | 2019-05-22 |