Organization
BEHAVIOR ANALYSTS OF NEW JERSEY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANJALEE SRIRAM NIRGUDKAR PH. D. (DIRECTOR)
(617) 877-9757
Entity
Organization
Contact information
Practice address
50 HILLCREST RD, MOUNTAIN LAKES, NJ 07046-1327
(617) 877-9757
(737) 267-6703
Mailing address
50 HILLCREST RD, MOUNTAIN LAKES, NJ 07046-1327
(617) 877-9757
(737) 267-6703
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1841503042
NATIONAL PROVIDER IDENTIFIER INDIVIDUAL
NJ
Enumeration date
02/26/2011
Last updated
02/26/2011
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