| Team 94 A Nj Nonprofit Corporation | |
|
88 Harrison Ave Roseland NJ 07068-1255 | |
| (201) 247-0452 | |
| Not Available |
| Full Name | Team 94 A Nj Nonprofit Corporation |
|---|---|
| Speciality | Behavior Analyst |
| Location | 88 Harrison Ave, Roseland, New Jersey |
| Authorized Official Name and Position | Nicole Sabato (PRESIDENT) |
| Authorized Official Contact | 2012470452 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Team 94 A Nj Nonprofit Corporation 88 Harrison Ave Roseland NJ 07068-1255 Ph: (201) 247-0452 | Team 94 A Nj Nonprofit Corporation 88 Harrison Ave Roseland NJ 07068-1255 Ph: (201) 247-0452 |
| NPI Number | 1669015533 |
|---|---|
| Provider Enumeration Date | 10/23/2019 |
| Last Update Date | 10/23/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669015533 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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