Organization
BEHAVIORAL ANALYSIS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BROOKE A RASKIN BCBA (BCBA)
(973) 768-9274
Entity
Organization
Contact information
Practice address
48A LINN DR, VERONA, NJ 07044-3101
(973) 768-9274
Mailing address
48A LINN DR, VERONA, NJ 07044-3101
(973) 768-9274
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-17-27509
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1518458199
CMS
NJ
Enumeration date
05/28/2018
Last updated
05/28/2018
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