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Organization

VOLT WELLNESS

Active
Other names
Behavioral Momentum
Organization subpart
No

Provider details

NPI number
Authorized official
KIMBERLY MITCHELL POTTER BCBA LBA (CLINICAL DIRECTOR)
(201) 585-0853
Entity
Organization

Contact information

Practice address
294 HARRINGTON AVE STE 8, CLOSTER, NJ 07624-1912
(201) 585-0853
(201) 585-0853
Mailing address
294 HARRINGTON AVE STE 8, CLOSTER, NJ 07624-1912
(201) 585-0853
(201) 585-0853

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
235Z00000X
Speech-Language Pathologist

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
60293645
NJ
Enumeration date
04/13/2010
Last updated
02/22/2021
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