Individual
MRS. DEANNA VIVINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.ED.
Contact information
Practice address
2320 US HIGHWAY 1, LAWRENCEVILLE, NJ 08648-4411
(609) 503-2544
Mailing address
50 MEADOWBROOK AVE, LAWRENCEVILLE, NJ 08648-3857
(732) 546-4782
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-18-33000
NJ
Other
Enumeration date
03/07/2019
Last updated
03/07/2019
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