Autism Spectrum Mandate Services

NPI #1336409473 in Medford, New Jersey

Provider Information

NPI Number: 1336409473
Entity Type: Organization
Organization Name: Autism Spectrum Mandate Services
Subpart: Yes (part of a larger organization)
Parent Organization: SPECIAL EDUCATION CONSULTANT, LLC
Primary Specialty: Behavior Analyst
Enumeration Date: May 23, 2012
Last Updated: May 23, 2012

Practice Location

Address: 4 MILL RUN CT
City: Medford
State: New Jersey
ZIP Code: 08055-2436
Phone: (609) 953-5793

Authorized Official

Name: MS. REBECCA KHETTRY-CLAY, M.A.,B.C.B.A.
Title: FOUNDER
Phone: (609) 953-5793

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Analyst	103K00000X	Primary

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