| NPI | 1639997166 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL SELBST Owner 732-873-1212 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| Enumeration Date | 2024-10-02 |
| Last Update Date | 2024-10-21 |