Organization
ADVANCED BEHAVIORAL SPECIALISTS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JACQUELINE GILL PUCCI LPC (OWNER)
(973) 525-9356
Entity
Organization
Contact information
Practice address
925 CLIFTON AVE, SUITE 103, CLIFTON, NJ 07013-2724
(201) 470-3450
Mailing address
49 PLYMOUTH RD, GLEN ROCK, NJ 07452-1235
(201) 470-3450
(973) 471-5157
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
37PC00411900
NJ
Other
Enumeration date
06/08/2016
Last updated
03/09/2017
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