| Foundations Autism Llc | |
|
100 Walnut Ave Ste 210 Clark NJ 07066-1247 | |
| (908) 731-1490 | |
| Not Available |
| Full Name | Foundations Autism Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 100 Walnut Ave Ste 210, Clark, New Jersey |
| Authorized Official Name and Position | Hashem Selim (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 9087311490 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Foundations Autism Llc 100 Walnut Ave Ste 210 #99 Clark NJ 07066 Ph: (908) 731-1490 | Foundations Autism Llc 100 Walnut Ave Ste 210 Clark NJ 07066-1247 Ph: (908) 731-1490 |
| NPI Number | 1437914868 |
|---|---|
| Provider Enumeration Date | 02/15/2024 |
| Last Update Date | 02/15/2024 |
| Certification Date | 02/15/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437914868 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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