Individual
MS. DONNA IVERY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ED.M.
Contact information
Practice address
2 BROADWAY, PARK RIDGE, NJ 07656-2157
(667) 207-0445
Mailing address
PO BOX 175, PARK RIDGE, NJ 07656-0175
(667) 207-0445
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
08/15/2016
Last updated
08/15/2016
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