Provider Demographics
NPI:1821305418
Name:NJ BEHAVIOR SUPPORT SERVICES
Entity Type:Organization
Organization Name:NJ BEHAVIOR SUPPORT SERVICES
Other - Org Name:NATIONAL BEHAVIOR CONSULTANTS
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:MANUELA
Authorized Official - Middle Name:A
Authorized Official - Last Name:STEWART
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:609-914-4539
Mailing Address - Street 1:33 LANCASTER DR
Mailing Address - Street 2:
Mailing Address - City:WESTAMPTON
Mailing Address - State:NJ
Mailing Address - Zip Code:08060-2452
Mailing Address - Country:US
Mailing Address - Phone:609-914-4539
Mailing Address - Fax:609-877-3903
Practice Address - Street 1:33 LANCASTER DR
Practice Address - Street 2:
Practice Address - City:WESTAMPTON
Practice Address - State:NJ
Practice Address - Zip Code:08060-2452
Practice Address - Country:US
Practice Address - Phone:609-914-4539
Practice Address - Fax:609-877-3903
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-09-03
Last Update Date:2014-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health