Organization
COLLABORATIVE AUTISM SERVICES, LLC
Active
Other names
Collaborative Autism Services, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HEATHER M PANE PH.D., BCBA-D (OWNER)
(908) 305-7041
Entity
Organization
Contact information
Practice address
175 SMULL AVE, WEST CALDWELL, NJ 07006-7848
(908) 305-7041
Mailing address
175 SMULL AVE, WEST CALDWELL, NJ 07006-7848
(908) 305-7041
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
106E00000X
Assistant Behavior Analyst
—
—
106S00000X
Behavior Technician
—
—
Other
Enumeration date
04/03/2024
Last updated
04/03/2024
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