| Autism Procare, Llc | |
|
2 University Plz Ste 100 Hackensack NJ 07601-6210 | |
| (201) 298-3737 | |
| Not Available |
| Full Name | Autism Procare, Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 2 University Plz Ste 100, Hackensack, New Jersey |
| Authorized Official Name and Position | Joseph D Kim (CEO) |
| Authorized Official Contact | 2012983737 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Autism Procare, Llc 2460 Lemoine Ave Ste 306 Fort Lee NJ 07024-6210 Ph: () - | Autism Procare, Llc 2 University Plz Ste 100 Hackensack NJ 07601-6210 Ph: (201) 298-3737 |
| NPI Number | 1992313050 |
|---|---|
| Provider Enumeration Date | 07/15/2020 |
| Last Update Date | 10/19/2022 |
| Certification Date | 10/19/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992313050 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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