| NPI | 1710339437 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHANI GROSS Director 732-367-0099 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 225100000X Physical Therapist |
| 225X00000X Occupational Therapist | |
| 235Z00000X Speech-Language Pathologist, | |
| Enumeration Date | 2016-07-06 |
| Last Update Date | 2016-07-06 |