NPI | 1912309501 |
---|---|
Entity Type | Organization |
Authorized Contact | SALOME BRANAS GONZALEZ Clinical Director 973-602-7108 |
Organization Subpart ? | No |
Primary Taxonomy | 103K00000X Behavior Analyst (Licence: NJ 1-13-12904) |
Enumeration Date | 2014-09-25 |
Last Update Date | 2014-09-25 |