| NPI | 1356047898 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAGDY F MAHMOUD Credentialing Officer 973-370-4000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| Enumeration Date | 2023-02-06 |
| Last Update Date | 2023-02-06 |