| C/o Lisa Rader, Ma, Bcba | |
|
4 South Orange Avenue Apt 2231 Box 189 South Orange NJ 07079-1782 | |
| (908) 686-1505 | |
| Not Available |
| Full Name | C/o Lisa Rader, Ma, Bcba |
|---|---|
| Speciality | Behavior Analyst |
| Location | 4 South Orange Avenue, South Orange, New Jersey |
| Authorized Official Name and Position | Lisa Rader (DIRECTOR) |
| Authorized Official Contact | 9086861505 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| C/o Lisa Rader, Ma, Bcba 4 South Orange Avenue Apt 2231 Box 189 South Orange NJ 07079-1782 Ph: () - | C/o Lisa Rader, Ma, Bcba 4 South Orange Avenue Apt 2231 Box 189 South Orange NJ 07079-1782 Ph: (908) 686-1505 |
| NPI Number | 1417247388 |
|---|---|
| Provider Enumeration Date | 04/13/2011 |
| Last Update Date | 08/04/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417247388 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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