Graduated: 2002
NPI: 1508350869
Practice Locations (2)
BAKER STREET BEHAVIORAL HEALTH
15 -01 BROADWAY, SUITE 30A
FAIR LAWN, NJ 074106026
2013816136
BAKER STREET BEHAVIORAL HEALTH
851 FRANKLIN LAKE RD, SUITE 204
FRANKLIN LAKES, NJ 074172267
2013816136
Source: CMS National Downloadable File, September 2026.