| NPI | 1912658097 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID SUSSMAN Member 201-216-9500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 103T00000X Psychologist |
| 1041C0700X Social Worker, Clinical | |
| 225X00000X Occupational Therapist | |
| 235Z00000X Speech-Language Pathologist, | |
| Enumeration Date | 2022-01-11 |
| Last Update Date | 2022-01-11 |