Individual
ASLAM ALI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
284 BROADWAY, NEWARK, NJ 07104-4003
(973) 854-9652
(973) 854-3653
Mailing address
284 BROADWAY, NEWARK, NJ 07104-4003
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-14-15220
NJ
Other
Enumeration date
05/08/2014
Last updated
05/08/2014
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