| NPI | 1881060432 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELE PARISI Board Certified Behavior Analyst 609-276-1864 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305R00000X Preferred Provider Organization (Licence: NJ 1-14-9717) |
| Additional Taxonomies | 305S00000X Point of Service (Licence: NJ 1-14-9717) |
| Enumeration Date | 2015-08-18 |
| Last Update Date | 2015-08-18 |