Advanced Behavioral Specialists, LLC
Organization Active NPI Community/Behavioral Health Agency · Clifton, NJ
NPI 1740639004 · NPPES record last updated Mar 9, 2017
Key facts
- NPI
- 1740639004
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Behavioral Health Agency 251S00000X
- License
- 37PC00411900 (NJ)
- Legal business name
- ADVANCED BEHAVIORAL SPECIALISTS, LLC
- Practice address
- 925 Clifton Ave
Suite 103
Clifton, NJ 07013-2724 - Phone
- (201) 470-3450
- NPI assigned
- Jun 8, 2016
- Organization subpart
- No
Authorized official
- Name
- Ms. Jacqueline Gill Pucci, LPC
- Title
- Owner
- Phone
- (973) 525-9356
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | 37PC00411900 | NJ | Yes |
Addresses
Primary practice location
925 Clifton Ave
Suite 103
Clifton, NJ 07013-2724
Mailing address
49 Plymouth Rd
Glen Rock, NJ 07452-1235
Phone (201) 470-3450
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 9, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.