| NPI | 1932756012 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RENEE CRIVELLO Owner Director B Ca Ba 908-451-5480 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2019-08-22 |
| Last Update Date | 2019-09-26 |