Organization
PROGRESSIVE OPTION SUPPORT SERVICES
Active
Organization
PROGRESSIVE OPTION SUPPORT SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KERRY PITTER PSY.D. (CLINICAL/MANAGING DIRECTOR)
(201) 241-4140
Entity
Organization
Contact information
Practice address
221 RIVER STREET 9TH FLOOR, HOBOKEN, NJ 07030
(201) 241-4140
(201) 328-9424
Mailing address
221 RIVER STREET, 9TH FLOOR, HOBOKEN, NJ 07030
(201) 241-4041
(201) 328-9424
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
—
—
103T00000X
Psychologist
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
02/06/2019
Last updated
06/14/2019
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