Individual
JOSEPH RUSSANO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
BCBA
Contact information
Practice address
777 PARAMUS RD, PARAMUS, NJ 07652-1710
(201) 612-7800
Mailing address
PO BOX 63, ROSEMONT, NJ 08556-0063
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-22-60111
NJ
Other
Enumeration date
05/31/2023
Last updated
05/31/2023
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