Individual
JUSTINE CRECCA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7 BENSON ST, TINTON FALLS, NJ 07724-9772
(908) 208-7614
Mailing address
986 RAYHON TER, RAHWAY, NJ 07065-2153
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1003237751
GRAHAM BEHAVIOR SERVICES
NJ
Enumeration date
01/30/2019
Last updated
01/30/2019
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