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Organization
ROOTS APPLIED BEHAVIOR ANALYSIS AUTISM TREATMENT CENTER
Active
Organization
ROOTS APPLIED BEHAVIOR ANALYSIS AUTISM TREATMENT CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID SIDENER PHD, BCBA-D (CEO/OWNER)
(973) 362-8484
Entity
Organization
Contact information
Practice address
185 RIDGEDALE AVE STE 107, CEDAR KNOLLS, NJ 07927-1812
(973) 362-8484
Mailing address
108 W VALLEY BROOK RD, CALIFON, NJ 07830-3525
(973) 362-8484
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
03/08/2021
Last updated
03/08/2021
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