| NPI | 1588962914 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEENA STEIN GREENBLATT Provider Enrollment & Payer Contrac 609-525-4271 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 225X00000X Occupational Therapist |
| 235Z00000X Speech-Language Pathologist | |
| Enumeration Date | 2011-03-09 |
| Last Update Date | 2024-09-04 |