Organization
ABC SUPPORTS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSEPH R DUMAS (PRESIDENT)
(609) 457-0126
Entity
Organization
Contact information
Practice address
17 WHIPPOORWILL DR, SICKLERVILLE, NJ 08081-9332
(609) 457-0126
Mailing address
17 WHIPPOORWILL DR, SICKLERVILLE, NJ 08081-9332
(609) 457-0126
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
106E00000X
Assistant Behavior Analyst
—
—
106S00000X
Behavior Technician
—
—
251S00000X
Community/Behavioral Health Agency
—
—
Other
Enumeration date
08/28/2019
Last updated
11/23/2020
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