| Autism Spectrum Mandate Services | |
|
4 Mill Run Ct Medford NJ 08055-2436 | |
| (609) 953-5793 | |
| Not Available |
| Full Name | Autism Spectrum Mandate Services |
|---|---|
| Speciality | Behavior Analyst |
| Location | 4 Mill Run Ct, Medford, New Jersey |
| Authorized Official Name and Position | Rebecca Khettry-clay (FOUNDER) |
| Authorized Official Contact | 6099535793 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Autism Spectrum Mandate Services 4 Mill Run Ct Medford NJ 08055-2436 Ph: (609) 953-5793 | Autism Spectrum Mandate Services 4 Mill Run Ct Medford NJ 08055-2436 Ph: (609) 953-5793 |
| NPI Number | 1336409473 |
|---|---|
| Provider Enumeration Date | 05/23/2012 |
| Last Update Date | 05/23/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336409473 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | 1084410 (Florida) | Primary |
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