Healthcare Provider Details

I. General information

NPI: 1518541911
Provider Name (Legal Business Name): THE NEW JERSEY CENTER FOR AUTISM RESOURCES AND ED
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/11/2021
Last Update Date: 05/11/2021
Certification Date: 05/11/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

81 DAVIS AVE SUITE 4
NEPTUNE NJ
07753
US

IV. Provider business mailing address

132 RAINBOW DR
BRICK NJ
08724
US

V. Phone/Fax

Practice location:
  • Phone: 732-776-4178
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number State

VIII. Authorized Official

Name: SANDRA L BENDOKAS
Title or Position: OWNER/DIRECTOR
Credential: BCBA
Phone: 732-864-6395