Autism Services Group
Organization Active NPI Behavior Analyst · Ewing, NJ
NPI 1831496280 · NPPES record last updated May 17, 2012
Key facts
- NPI
- 1831496280
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Behavior Analyst 103K00000X
- Legal business name
- AUTISM SERVICES GROUP
- Practice address
- 200 Princeton South Corporate Ctr
Suite 260
Ewing, NJ 08628-3434 - Phone
- (609) 454-4598
- Fax
- (609) 454-4599
- NPI assigned
- Feb 22, 2011
- Organization subpart
- No
Authorized official
- Name
- Ms. Teresa Boussom, BCBA
- Title
- Clinical Management Director
- Phone
- (609) 454-4598
National Provider Directory
Locations
200 Princeton South Corporate Ctr
Ste 260
Ewing, NJ 08628
Phone (609) 454-4598
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst |
103K00000X | Yes |
Addresses
Primary practice location
200 Princeton South Corporate Ctr
Suite 260
Ewing, NJ 08628-3434
Mailing address
200 Princeton South Corporate Center
Suite 260
Ewing, NJ 08628-3435
Phone (609) 454-4598
Other providers in Ewing, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 17, 2012. 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.