Individual
MRS. CONSTANTINA COPPOLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S.
Contact information
Practice address
25 KENSINGTON RD, MADISON, NJ 07940-2318
(718) 309-2106
Mailing address
25 KENSINGTON RD, MADISON, NJ 07940-2318
(718) 309-2106
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
NY
Other
Enumeration date
06/03/2009
Last updated
07/21/2022
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