Organization
THE UNCOMMON THREAD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMY MEDINA (FINANCE COORDINATOR)
(908) 604-4500
Entity
Organization
Contact information
Practice address
1071 VALLEY RD, STIRLING, NJ 07980-1523
(908) 604-4500
(908) 604-4505
Mailing address
1071 VALLEY RD, STIRLING, NJ 07980-1523
(908) 604-4500
(908) 604-4505
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
—
—
103T00000X
Psychologist
—
—
302F00000X
Exclusive Provider Organization
Primary
—
—
Other
Enumeration date
10/30/2008
Last updated
09/09/2025
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