| Data Group Central | |
|
102 Center Avenue Atlantic Highlands NJ 07716 | |
| (908) 812-0766 | |
| Not Available |
| Full Name | Data Group Central |
|---|---|
| Speciality | Behavior Analyst |
| Location | 102 Center Avenue, Atlantic Highlands, New Jersey |
| Authorized Official Name and Position | Craig Domanski (DIRECTOR) |
| Authorized Official Contact | 9088120766 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Data Group Central 102 Center Avenue Atlantic Highlands NJ 07716 Ph: (908) 812-0766 | Data Group Central 102 Center Avenue Atlantic Highlands NJ 07716 Ph: (908) 812-0766 |
| NPI Number | 1659998169 |
|---|---|
| Provider Enumeration Date | 06/30/2020 |
| Last Update Date | 06/30/2020 |
| Certification Date | 06/30/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659998169 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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