Ld Behavioral and Support Services

NPI #1184308793 in South Orange, New Jersey

Provider Information

NPI Number: 1184308793
Entity Type: Organization
Organization Name: Ld Behavioral and Support Services
Primary Specialty: Psychologist - School
Enumeration Date: Jun 14, 2023
Last Updated: Jun 14, 2023

Practice Location

Address: 50 W SOUTH ORANGE AVE
City: South Orange
State: New Jersey
ZIP Code: 07079-1730
Phone: (201) 486-3367

Authorized Official

Name: MRS. EDNA YOLANDA LEE, REGISTERED NURSE
Title: CEO/OWNER
Phone: (201) 486-3367

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Analyst	103K00000X
Psychologist - School — School	103TS0200X	Primary

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