Individual
DANIEL BASKIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
28 MAPLE, WEST ORANGE, NJ 07052
(862) 202-6645
Mailing address
28 MAPLE AVE, WEST ORANGE, NJ 07052-2408
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
103K00000X
Behavior Analyst
—
—
171W00000X
Contractor
—
—
Other
Enumeration date
09/14/2016
Last updated
09/14/2016
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