| Prism Behavioral Consulting, Llc | |
|
15 River Road A Nutley NJ 07110-3498 | |
| (201) 572-4443 | |
| Not Available |
| Full Name | Prism Behavioral Consulting, Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 15 River Road, Nutley, New Jersey |
| Authorized Official Name and Position | Melissa M. Anglesea (OWNER) |
| Authorized Official Contact | 2015724443 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Prism Behavioral Consulting, Llc 15 River Road A Nutley NJ 07110-3498 Ph: () - | Prism Behavioral Consulting, Llc 15 River Road A Nutley NJ 07110-3498 Ph: (201) 572-4443 |
| NPI Number | 1932417243 |
|---|---|
| Provider Enumeration Date | 09/21/2010 |
| Last Update Date | 09/21/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932417243 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | 1106793 (New Jersey) | Primary |
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