| NPI | 1457966160 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELE I COOPER Member 908-208-0930 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 261QH0700X Clinic/Center, Hearing and Speech |
| Enumeration Date | 2020-09-09 |
| Last Update Date | 2022-09-07 |