| Family Matters Aba | |
|
21 Essex St East Orange NJ 07017-1305 | |
| (862) 213-0334 | |
| Not Available |
| Full Name | Family Matters Aba |
|---|---|
| Speciality | Behavior Analyst |
| Location | 21 Essex St, East Orange, New Jersey |
| Authorized Official Name and Position | Mpho Tau Sello (OWNER/OPERATIONS MANAGER) |
| Authorized Official Contact | 8622130334 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Matters Aba 21 Essex St East Orange NJ 07017-1305 Ph: (862) 800-2569 | Family Matters Aba 21 Essex St East Orange NJ 07017-1305 Ph: (862) 213-0334 |
| NPI Number | 1700464393 |
|---|---|
| Provider Enumeration Date | 04/01/2021 |
| Last Update Date | 08/28/2023 |
| Certification Date | 08/28/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700464393 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Secondary |
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