| Fundamental Licensed Behavior Analyst Llc | |
|
667 Rodrigues Ln Jackson NJ 08527-4818 | |
| (917) 831-9691 | |
| Not Available |
| Full Name | Fundamental Licensed Behavior Analyst Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 667 Rodrigues Ln, Jackson, New Jersey |
| Authorized Official Name and Position | Yosef Toledano (OWNER) |
| Authorized Official Contact | 1917831969 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Fundamental Licensed Behavior Analyst Llc 667 Rodrigues Ln Jackson NJ 08527-4818 Ph: (917) 831-9691 | Fundamental Licensed Behavior Analyst Llc 667 Rodrigues Ln Jackson NJ 08527-4818 Ph: (917) 831-9691 |
| NPI Number | 1265114466 |
|---|---|
| Provider Enumeration Date | 08/07/2023 |
| Last Update Date | 08/08/2023 |
| Certification Date | 08/08/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265114466 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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