Organization
MASTERMIND BEHAVIOR SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. RAIZY PERLSTEIN BCBA (OWNER)
(732) 367-0781
Entity
Organization
Contact information
Practice address
204 HADASSAH LN, LAKEWOOD, NJ 08701-5562
(732) 367-0781
(732) 367-0781
Mailing address
204 HADASSAH LN, LAKEWOOD, NJ 08701-5562
(732) 367-0781
(732) 367-0781
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
0450090137
NJ
Other
Enumeration date
07/20/2016
Last updated
07/20/2016
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