Kg Bahavior Modification Llc.

NPI #1912335316 in Tenafly, New Jersey

Provider Information

NPI Number: 1912335316
Entity Type: Organization
Organization Name: Kg Bahavior Modification Llc.
Primary Specialty: Behavior Analyst
Enumeration Date: Oct 22, 2013
Last Updated: Oct 22, 2013

Practice Location

Address: 158 RIVEREDGE ROAD
City: Tenafly
State: New Jersey
ZIP Code: 07670-1955
Phone: (201) 655-4887

Authorized Official

Name: MICHAEL P. GREELEY
Title: BUSINESS MANAGER
Phone: (201) 568-5619

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Analyst	103K00000X	Primary

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