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14 Worlds Fair Drive Ste M Somerset NJ 08873 | |
| (732) 356-5363 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Behavior Analyst |
| Location | 14 Worlds Fair Drive, Somerset, New Jersey |
| Authorized Official Name and Position | Michelle M Petito (ABA BEHAVIORAL SPECIALIST) |
| Authorized Official Contact | 7323565363 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
14 Worlds Fair Drive Ste M Somerset NJ 08873 Ph: (732) 356-5363 | 14 Worlds Fair Drive Ste M Somerset NJ 08873 Ph: (732) 356-5363 |
| NPI Number | 1083917892 |
|---|---|
| Provider Enumeration Date | 12/16/2010 |
| Last Update Date | 12/16/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083917892 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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