Individual
DANIELLE RICCARDELLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1050 GALLOPING HILL RD STE 205, UNION, NJ 07083-7980
(908) 686-1505
Mailing address
59 UDALIA RD, WEST ISLIP, NY 11795-3920
(631) 942-7657
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
10/05/2017
Last updated
10/05/2017
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