| Behavioral Momentum | |
|
294 Harrington Ave Ste 8 Closter NJ 07624-1912 | |
| (201) 585-0853 | |
| (201) 585-0853 |
| Full Name | Behavioral Momentum |
|---|---|
| Speciality | Behavior Analyst |
| Location | 294 Harrington Ave Ste 8, Closter, New Jersey |
| Authorized Official Name and Position | Kimberly Mitchell Potter (CLINICAL DIRECTOR) |
| Authorized Official Contact | 2015850853 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Behavioral Momentum 294 Harrington Ave Ste 8 Closter NJ 07624-1912 Ph: (201) 585-0853 | Behavioral Momentum 294 Harrington Ave Ste 8 Closter NJ 07624-1912 Ph: (201) 585-0853 |
| NPI Number | 1457677676 |
|---|---|
| Provider Enumeration Date | 04/13/2010 |
| Last Update Date | 02/22/2021 |
| Certification Date | 02/22/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457677676 | NPI | - | NPPES |
| 60293645 | Medicaid | NJ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
| 235Z00000X | Speech-language Pathologist | (* (Not Available)) | Secondary |
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