Provider Demographics
NPI:1447455407
Name:SAVAGE, FRANK F (PHD, BCBA-D)
Entity type:Individual
Prefix:DR
First Name:FRANK
Middle Name:F
Last Name:SAVAGE
Suffix:
Gender:M
Credentials:PHD, BCBA-D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:430 JACK MARTIN BLVD
Mailing Address - Street 2:
Mailing Address - City:BRICK
Mailing Address - State:NJ
Mailing Address - Zip Code:08724-7712
Mailing Address - Country:US
Mailing Address - Phone:732-275-7182
Mailing Address - Fax:732-206-6744
Practice Address - Street 1:430 JACK MARTIN BLVD
Practice Address - Street 2:
Practice Address - City:BRICK
Practice Address - State:NJ
Practice Address - Zip Code:08724-7712
Practice Address - Country:US
Practice Address - Phone:732-275-7182
Practice Address - Fax:732-206-6744
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-19
Last Update Date:2021-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
1-12-11917103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ0047741Medicaid