Provider Demographics
NPI:1326581521
Name:COMPREHENSIVE BEHAVIOR SUPPORT OF NJ LLC
Entity Type:Organization
Organization Name:COMPREHENSIVE BEHAVIOR SUPPORT OF NJ LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:ISRAEL
Authorized Official - Middle Name:
Authorized Official - Last Name:BENEDEK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:718-633-4411
Mailing Address - Street 1:26 PARK PL
Mailing Address - Street 2:
Mailing Address - City:PARAMUS
Mailing Address - State:NJ
Mailing Address - Zip Code:07652-3617
Mailing Address - Country:US
Mailing Address - Phone:201-283-9600
Mailing Address - Fax:
Practice Address - Street 1:26 PARK PL
Practice Address - Street 2:
Practice Address - City:PARAMUS
Practice Address - State:NJ
Practice Address - Zip Code:07652-3617
Practice Address - Country:US
Practice Address - Phone:201-283-9600
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-11-21
Last Update Date:2017-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health