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NPI # 

Practice Address:

20 Oakview Ave

Maplewood, NJ, 07040-2214

Practice Phone:

973-809-3543

Taxonomy Grouping:

Behavioral Health & Social Service Providers

Taxonomy Classification:

Behavior Analyst

Taxonomy Code:

103K00000X

Updated by NPPES on 9/6/2023. You can view the original data set for NPI # 1215674916 on the official NPPES website. If the information about this NPI provider/company is outdated you can request updates through the NPPES website. See our FAQ page for more information.

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CMS prescription data

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