| Cor Behavioral Group Llc | |
|
601 Flaghouse Dr Hasbrouck Heights NJ 07604-3118 | |
| (201) 660-8270 | |
| (201) 660-8271 |
| Full Name | Cor Behavioral Group Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 601 Flaghouse Dr, Hasbrouck Heights, New Jersey |
| Authorized Official Name and Position | Kimberly Mitchell Potter (CHIEF CLINICAL OFFICER) |
| Authorized Official Contact | 2016608270 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cor Behavioral Group Llc 601 Flaghouse Dr Hasbrouck Heights NJ 07604-3118 Ph: (201) 660-8270 | Cor Behavioral Group Llc 601 Flaghouse Dr Hasbrouck Heights NJ 07604-3118 Ph: (201) 660-8270 |
| NPI Number | 1346656006 |
|---|---|
| Provider Enumeration Date | 07/02/2014 |
| Last Update Date | 10/26/2020 |
| Certification Date | 10/26/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346656006 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | 1-08-4116 (New Jersey) | Primary |
| 235Z00000X | Speech-language Pathologist | (* (Not Available)) | Secondary |
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