| Autism Services Group | |
|
200 Princeton South Corporate Ctr Suite 260 Ewing NJ 08628-3434 | |
| (609) 454-4598 | |
| (609) 454-4599 |
| Full Name | Autism Services Group |
|---|---|
| Speciality | Behavior Analyst |
| Location | 200 Princeton South Corporate Ctr, Ewing, New Jersey |
| Authorized Official Name and Position | Teresa Boussom (CLINICAL MANAGEMENT DIRECTOR) |
| Authorized Official Contact | 6094544598 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Autism Services Group 200 Princeton South Corporate Center Suite 260 Ewing NJ 08628-3435 Ph: (609) 454-4598 | Autism Services Group 200 Princeton South Corporate Ctr Suite 260 Ewing NJ 08628-3434 Ph: (609) 454-4598 |
| NPI Number | 1831496280 |
|---|---|
| Provider Enumeration Date | 02/22/2011 |
| Last Update Date | 05/17/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831496280 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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