Organization
FAMILY MATTERS ABA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MPHO TAU SELLO (OWNER/OPERATIONS MANAGER)
(862) 213-0334
Entity
Organization
Contact information
Practice address
21 ESSEX ST, EAST ORANGE, NJ 07017-1305
(862) 213-0334
Mailing address
21 ESSEX ST, EAST ORANGE, NJ 07017-1305
(862) 800-2569
(862) 205-0148
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
251S00000X
Community/Behavioral Health Agency
—
—
Other
Enumeration date
04/01/2021
Last updated
08/28/2023
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