Organization
COR BEHAVIORAL GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBERLY MITCHELL POTTER BCBA LBA (CHIEF CLINICAL OFFICER)
(201) 660-8270
Entity
Organization
Contact information
Practice address
601 FLAGHOUSE DR, HASBROUCK HEIGHTS, NJ 07604-3118
(201) 660-8270
(201) 660-8271
Mailing address
601 FLAGHOUSE DR, HASBROUCK HEIGHTS, NJ 07604-3118
(201) 660-8270
(800) 985-9749
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-08-4116
NJ
235Z00000X
Speech-Language Pathologist
—
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Other
Enumeration date
07/02/2014
Last updated
10/26/2020
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