Individual
ILONA SHABOVTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
280 MAIN ST APT 301, LITTLE FALLS, NJ 07424-1375
(252) 671-3193
Mailing address
280 MAIN ST APT 301, LITTLE FALLS, NJ 07424-1375
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
NJ
Other
Enumeration date
07/08/2017
Last updated
07/08/2017
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