Individual
DAVEY ANTHONY BUMBACO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
537 WAHNETAH DRIVE, BOUND BROOK, NJ 08805
(732) 853-6969
Mailing address
537 WAHNETAH DRIVE, BOUND BROOK, NJ 08805
(732) 853-6969
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-24-369878
NJ
Other
Enumeration date
10/29/2024
Last updated
10/29/2024
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