Supportive Licensed Behavior Analyst Pllc
NPI #1871489674 in Jackson, New Jersey
Provider Information
- NPI Number
- 1871489674
- Entity Type
- Organization
- Organization Name
- Supportive Licensed Behavior Analyst Pllc
- Primary Specialty
- Behavior Analyst
- Enumeration Date
- Jun 17, 2025
- Last Updated
- Jun 17, 2025
Practice Location
- Address
- 667 RODRIGUES LN
- City
- Jackson
- State
- New Jersey
- ZIP Code
- 08527-4818
- Phone
- (917) 831-9691
Authorized Official
- Name
- YOSEF TOLEDANO
- Title
- CEO
- Phone
- (917) 831-9691
Specialties & Taxonomy Codes
| Specialty |
|---|
| Behavior Analyst |
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