Organization
AFUZE CONNECT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. USIFO EDWARD ASIKHIA BCBA-D (CLINICAL DIRECTOR)
(208) 589-4026
Entity
Organization
Contact information
Practice address
1480 BRIAR TRAIL, VINELAND, NJ 08360
(208) 589-4026
Mailing address
1480 BRIAR TRAIL, VINELAND, NJ 08360
(208) 589-4026
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
103TM1800X
Intellectual & Developmental Disabilities Psychologist
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
—
—
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
—
—
Other
Enumeration date
02/27/2024
Last updated
02/27/2024
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