Provider Demographics
NPI:1740996396
Name:HUNTERDON BEHAVIOR THERAPY LLC
Entity type:Organization
Organization Name:HUNTERDON BEHAVIOR THERAPY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JUSTINE
Authorized Official - Middle Name:
Authorized Official - Last Name:MORA
Authorized Official - Suffix:
Authorized Official - Credentials:BCBA
Authorized Official - Phone:908-240-3833
Mailing Address - Street 1:4 SPRING HOLLOW RD
Mailing Address - Street 2:
Mailing Address - City:FLEMINGTON
Mailing Address - State:NJ
Mailing Address - Zip Code:08822-4023
Mailing Address - Country:US
Mailing Address - Phone:908-240-3833
Mailing Address - Fax:
Practice Address - Street 1:4 SPRING HOLLOW RD
Practice Address - Street 2:
Practice Address - City:FLEMINGTON
Practice Address - State:NJ
Practice Address - Zip Code:08822-4023
Practice Address - Country:US
Practice Address - Phone:908-240-3833
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-01-26
Last Update Date:2023-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health