| NPI | 1578099750 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KARALYN HERBAN Occupational Therapist 732-322-5695 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty (Licence: NJ 46TR00266000) |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| Enumeration Date | 2017-05-05 |
| Last Update Date | 2024-02-13 |