| Behavioral Analysis LLC | |
|
48a Linn Dr Verona NJ 07044-3101 | |
| (973) 768-9274 | |
| Not Available |
| Full Name | Behavioral Analysis LLC |
|---|---|
| Speciality | Behavior Analyst |
| Location | 48a Linn Dr, Verona, New Jersey |
| Authorized Official Name and Position | Brooke a Raskin (BCBA) |
| Authorized Official Contact | 9737689274 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Behavioral Analysis LLC 48a Linn Dr Verona NJ 07044-3101 Ph: (973) 768-9274 | Behavioral Analysis LLC 48a Linn Dr Verona NJ 07044-3101 Ph: (973) 768-9274 |
| NPI Number | 1366933145 |
|---|---|
| Provider Enumeration Date | 05/28/2018 |
| Last Update Date | 05/28/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366933145 | NPI | - | NPPES |
| 1518458199 | Other | NJ | CMS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | 1-17-27509 (New Jersey) | Primary |
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