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Organization
COR BEHAVIORAL GROUP LLC
Active
Organization
COR BEHAVIORAL GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBERLY MITCHELL POTTER BCBA LBA (CHIEF CLINICAL OFFICER)
(201) 660-8270
Entity
Organization
Contact information
Practice address
601 FLAGHOUSE DR, HASBROUCK HEIGHTS, NJ 07604-3118
(201) 660-8270
(201) 660-8271
Mailing address
601 FLAGHOUSE DR, HASBROUCK HEIGHTS, NJ 07604-3118
(201) 660-8270
(800) 985-9749
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-08-4116
NJ
235Z00000X
Speech-Language Pathologist
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Other
Enumeration date
07/02/2014
Last updated
10/26/2020
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