Organization
NEW JERSEY AUTISM CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TALIA LOPEZ (CREDENTIALING SPECIALIST)
(845) 327-7111
Entity
Organization
Contact information
Practice address
5 PARAGON DR STE 105, MONTVALE, NJ 07645-1739
(845) 327-7111
(845) 875-9420
Mailing address
5 PARAGON DR STE 105, MONTVALE, NJ 07645-1739
(845) 327-7111
(845) 875-9420
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
04/01/2025
Last updated
04/01/2025
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