Organization
ATLANTIC BEHAVIOR ANALYSIS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELE LEE BCBA (OWNER)
(609) 276-1864
Entity
Organization
Contact information
Practice address
601 KIMBERLY CT, FORKED RIVER, NJ 08731-4963
(609) 276-1864
Mailing address
601 KIMBERLY CT, FORKED RIVER, NJ 08731-4963
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1871943688
NPI
NJ
Enumeration date
08/09/2022
Last updated
11/11/2022
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