NPI | 1972847564 |
---|---|
Entity Type | Organization |
Authorized Contact | DEENA STEIN GREENBLATT Payer Enrollment & Contracting 609-525-4271 |
Organization Subpart ? | No |
Primary Taxonomy | 103K00000X Behavior Analyst |
Additional Taxonomies | 225XP0200X Occupational Therapist, Pediatrics |
235Z00000X Speech-Language Pathologist, | |
Enumeration Date | 2012-11-20 |
Last Update Date | 2024-04-24 |