Individual
VERONICA DISTASI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A., BCBA
Contact information
Practice address
329 AYCRIGG AVE, PASSAIC, NJ 07055-3713
(973) 471-3046
Mailing address
200 AUTUMN LN APT 208A, GARFIELD, NJ 07026-4603
(973) 508-5644
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-21-52324
NJ
Other
Enumeration date
11/17/2023
Last updated
11/17/2023
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