Organization
LD BEHAVIORAL AND SUPPORT SERVICES
Active
Other names
LD Behavioral and Support Services
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. EDNA YOLANDA LEE REGISTERED NURSE (CEO/OWNER)
(201) 486-3367
Entity
Organization
Contact information
Practice address
50 W SOUTH ORANGE AVE, SOUTH ORANGE, NJ 07079-1730
(201) 486-3367
(973) 378-9525
Mailing address
382 VALLEY ST, SOUTH ORANGE, NJ 07079-2806
(201) 486-3367
(973) 378-9525
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
—
—
103TS0200X
School Psychologist
Primary
—
—
Other
Enumeration date
06/14/2023
Last updated
06/14/2023
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