Provider Demographics
NPI:1629589650
Name:SOCIAL BEHAVIOR LEARNING SOLUTIONS, LLC
Entity Type:Organization
Organization Name:SOCIAL BEHAVIOR LEARNING SOLUTIONS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/ DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:NANDI
Authorized Official - Middle Name:
Authorized Official - Last Name:NELSON
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW, BCBA
Authorized Official - Phone:862-253-3109
Mailing Address - Street 1:18 MICROLAB RD STE 3
Mailing Address - Street 2:
Mailing Address - City:LIVINGSTON
Mailing Address - State:NJ
Mailing Address - Zip Code:07039-1640
Mailing Address - Country:US
Mailing Address - Phone:862-253-3109
Mailing Address - Fax:862-520-3027
Practice Address - Street 1:18 MICROLAB RD STE 3
Practice Address - Street 2:
Practice Address - City:LIVINGSTON
Practice Address - State:NJ
Practice Address - Zip Code:07039-1640
Practice Address - Country:US
Practice Address - Phone:862-253-3109
Practice Address - Fax:862-520-3027
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-10-17
Last Update Date:2021-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty