Provider Demographics
NPI:1043588957
Name:THE A.S. GROUP
Entity Type:Organization
Organization Name:THE A.S. GROUP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF EXECUTIVE OFFICER
Authorized Official - Prefix:MR
Authorized Official - First Name:AL-DUHA SADAT
Authorized Official - Middle Name:
Authorized Official - Last Name:SAFFORLD
Authorized Official - Suffix:
Authorized Official - Credentials:MA
Authorized Official - Phone:732-361-0340
Mailing Address - Street 1:1408 ALPINE TRL
Mailing Address - Street 2:
Mailing Address - City:NEPTUNE
Mailing Address - State:NJ
Mailing Address - Zip Code:07753
Mailing Address - Country:US
Mailing Address - Phone:732-361-0340
Mailing Address - Fax:888-524-7484
Practice Address - Street 1:1408 ALPINE TRL
Practice Address - Street 2:
Practice Address - City:NEPTUNE
Practice Address - State:NJ
Practice Address - Zip Code:07753
Practice Address - Country:US
Practice Address - Phone:732-361-0340
Practice Address - Fax:888-524-7484
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-12-06
Last Update Date:2011-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty