Individual
MS. MARISSA GYNN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
2400 HUDSON TER, 2D, FORT LEE, NJ 07024-3520
(201) 264-3790
Mailing address
2400 HUDSON TER, 2D, FORT LEE, NJ 07024-3520
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1084359
NJ
Other
Enumeration date
04/14/2010
Last updated
04/14/2010
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