Organization
MY POTENTIAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARISSA COSSOLINI OTR/L (OWNER/ CLINICAL DIRECTOR)
(551) 697-0030
Entity
Organization
Contact information
Practice address
1801 E 2ND ST, SCOTCH PLAINS, NJ 07076-1749
(908) 956-1301
Mailing address
1801 E 2ND ST, SCOTCH PLAINS, NJ 07076-1749
(908) 956-1301
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
—
—
106S00000X
Behavior Technician
—
—
225100000X
Physical Therapist
—
—
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
—
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
08/19/2025
Last updated
04/06/2026
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