Healthcare Provider Details

I. General information

NPI: 1972172468
Provider Name (Legal Business Name): SAFFRON THERAPEUTIC SERVICES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/21/2021
Last Update Date: 06/24/2021
Certification Date: 06/24/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9 MILTON ST
MAPLEWOOD NJ
07040-2606
US

IV. Provider business mailing address

9 MILTON ST
MAPLEWOOD NJ
07040-2606
US

V. Phone/Fax

Practice location:
  • Phone: 516-445-6412
  • Fax:
Mailing address:
  • Phone: 516-445-6412
  • 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 Code174400000X
TaxonomySpecialist
License Number
License Number State

VIII. Authorized Official

Name: CASSANDRA LYN CHAPPINA
Title or Position: DIRECTOR
Credential: MSED, BCBA
Phone: 516-445-6412