| NPI | 1366996373 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LESLIE J NEWPORT Owner/Director 732-524-8600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NJ 35S100305600) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: NJ 1-13-13764) |
| Enumeration Date | 2016-08-08 |
| Last Update Date | 2016-08-08 |