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Organization
FUNDAMENTAL LICENSED BEHAVIOR ANALYST LLC
Active
Organization
FUNDAMENTAL LICENSED BEHAVIOR ANALYST LLC
Active
Other names
Supportive ABA
Organization subpart
No
Provider details
NPI number
Authorized official
YOSEF TOLEDANO BCBA (OWNER)
(191) 783-1969
Entity
Organization
Contact information
Practice address
667 RODRIGUES LN, JACKSON, NJ 08527-4818
(917) 831-9691
Mailing address
667 RODRIGUES LN, JACKSON, NJ 08527-4818
(917) 831-9691
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
08/07/2023
Last updated
08/08/2023
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