Organization
AUTISM SPECTRUM MANDATE SERVICES
Active
Parent organization
SPECIAL EDUCATION CONSULTANT, LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
SPECIAL EDUCATION CONSULTANT, LLC
Authorized official
MS. REBECCA KHETTRY-CLAY M.A.,B.C.B.A. (FOUNDER)
(609) 953-5793
Entity
Organization
Contact information
Practice address
4 MILL RUN CT, MEDFORD, NJ 08055-2436
(609) 953-5793
Mailing address
4 MILL RUN CT, MEDFORD, NJ 08055-2436
(609) 953-5793
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1084410
FL
Other
Enumeration date
05/23/2012
Last updated
05/23/2012
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