Organization
BEHAVIOR ANALYSIS AND SUPPORT SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MYRNA BASSAM (CLINICAL DIRECTOR)
(551) 800-2441
Entity
Organization
Contact information
Practice address
60 GRAND AVE STE 1, ENGLEWOOD, NJ 07631-6583
(201) 849-4565
(844) 364-3239
Mailing address
60 GRAND AVE STE 1, ENGLEWOOD, NJ 07631-6583
(551) 800-2441
(844) 364-3239
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
11314553
CA
Other
Enumeration date
02/21/2017
Last updated
03/26/2026
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