OrganizationActive
Fairlawn Behavioral Associates LLC
NPI 1861876419 · Prescribing (Medical) Psychologist · Fair Lawn, NJ
Provider details
- NPI number
- 1861876419
- Entity type
- Organization
- Primary specialty
- Prescribing (Medical) PsychologistBehavioral Health & Social Service Providers
- Organization subpart
- No
- Authorized official
- Mohsan Jan, Administartor(201) 289-8455
- License
- 25MA6506500 (NJ)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
15-01 Broadway
Suite# 10b
Fair Lawn, NJ 07410-6003
Phone: (201) 342-4004
Fax: (201) 342-4008
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 809
Teaneck, NJ 07666-0809
Registry dates
- Enumerated
- 2015-07-14
- Last updated
- 2015-07-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.