Fundamental Licensed Behavior Analyst Pllc
NPI #1386345270 in Jackson, New Jersey
Provider Information
- NPI Number
- 1386345270
- Entity Type
- Organization
- Organization Name
- Fundamental Licensed Behavior Analyst Pllc
- Primary Specialty
- Behavior Analyst
- Enumeration Date
- Mar 16, 2023
- Last Updated
- Aug 3, 2023
Practice Location
- Address
- 667 RODRIGUES LN
- City
- Jackson
- State
- New Jersey
- ZIP Code
- 08527-4818
- Phone
- (732) 314-3019
Authorized Official
- Name
- YOSEF TOLEDANO, BCBA
- Title
- MEMBER
- Phone
- (917) 831-9691
Specialties & Taxonomy Codes
| Specialty |
|---|
| Behavior Analyst |
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