Organization
PRISM BEHAVIORAL CONSULTING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS MELISSA M. ANGLESEA M.A., BCBA (OWNER)
(201) 572-4443
Entity
Organization
Contact information
Practice address
15 RIVER ROAD, A, NUTLEY, NJ 07110-3498
(201) 572-4443
Mailing address
15 RIVER ROAD, A, NUTLEY, NJ 07110-3498
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1106793
NJ
Other
Enumeration date
09/21/2010
Last updated
09/21/2010
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