| N | |
|
20 Oakview Ave Maplewood NJ 07040-2214 | |
| (973) 809-3543 | |
| Not Available |
| Full Name | N |
|---|---|
| Speciality | Behavior Analyst |
| Location | 20 Oakview Ave, Maplewood, New Jersey |
| Authorized Official Name and Position | Nicole Stewart (OWNER) |
| Authorized Official Contact | 9738093543 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| N 20 Oakview Ave Maplewood NJ 07040-2214 Ph: (973) 809-3543 | N 20 Oakview Ave Maplewood NJ 07040-2214 Ph: (973) 809-3543 |
| NPI Number | 1215674916 |
|---|---|
| Provider Enumeration Date | 05/16/2022 |
| Last Update Date | 09/06/2023 |
| Certification Date | 05/16/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215674916 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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