| NPI | 1346788189 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICIA BAGG CEO 908-216-2593 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: VA 2202007683) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: VA 0133000547) |
| Enumeration Date | 2017-02-01 |
| Last Update Date | 2017-02-01 |