| Tri-state Behavioral | |
|
77 Center Grove Rd Randolph NJ 07869-4411 | |
| (201) 572-4893 | |
| Not Available |
| Full Name | Tri-state Behavioral |
|---|---|
| Speciality | Behavior Analyst |
| Location | 77 Center Grove Rd, Randolph, New Jersey |
| Authorized Official Name and Position | Vincent Troy Santos (CEO) |
| Authorized Official Contact | 2015724893 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tri-state Behavioral 77 Center Grove Rd Randolph NJ 07869-4411 Ph: (201) 572-4893 | Tri-state Behavioral 77 Center Grove Rd Randolph NJ 07869-4411 Ph: (201) 572-4893 |
| NPI Number | 1093426421 |
|---|---|
| Provider Enumeration Date | 12/06/2022 |
| Last Update Date | 12/06/2022 |
| Certification Date | 12/06/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093426421 | NPI | - | NPPES |
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