Individual
DAWN FITTIPALDI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
62 BROAD ST, MATAWAN, NJ 07747-2534
(732) 765-8500
Mailing address
62 BROAD ST, MATAWAN, NJ 07747-2534
(732) 765-8500
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-11-8446
—
Other
Enumeration date
08/18/2016
Last updated
08/18/2016
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