Healthcare Provider Details

I. General information

NPI: 1477425080
Provider Name (Legal Business Name): PRECISION BEHAVIOR GROUP LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/22/2025
Last Update Date: 09/22/2025
Certification Date: 09/22/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

55-77 SCHANCK RD UNIT 9-13
FREEHOLD NJ
07728-2964
US

IV. Provider business mailing address

53 MAJOR DR
SAYREVILLE NJ
08872-1012
US

V. Phone/Fax

Practice location:
  • Phone: 201-962-0438
  • Fax:
Mailing address:
  • Phone: 201-962-0438
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code224Z00000X
TaxonomyOccupational Therapy Assistant
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code2355S0801X
TaxonomySpeech-Language Assistant
License Number
License Number State

VIII. Authorized Official

Name: MR. GAUTAM KAKAR
Title or Position: CEO/OWNER
Credential:
Phone: 201-962-0438