| NPI | 1346916608 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOCELYN THOMAS Credentialer/Biller 201-241-0079 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| Enumeration Date | 2021-08-17 |
| Last Update Date | 2025-02-09 |