Organization
INDIVIDUALIZED SUPPORTS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SAMANTHA COOPER BCBA (OWNER)
(973) 647-4980
Entity
Organization
Contact information
Practice address
666 PAXSON AVE, HAMILTON, NJ 08619-1143
(973) 647-4980
Mailing address
666 PAXSON AVE, HAMILTON, NJ 08619-1143
(973) 647-4980
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
11/22/2023
Last updated
11/22/2023
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