Individual
MRS. ADINA WILLNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BCBA, LBA
Contact information
Practice address
1950 RUTGERS UNIVERSITY BLVD, LAKEWOOD, NJ 08701-4537
(718) 304-9977
Mailing address
17A SHAYAS RD, LAKEWOOD, NJ 08701-5564
(845) 263-5370
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
002260
NY
103K00000X
Behavior Analyst
Primary
12257444
NJ
Other
Enumeration date
02/08/2022
Last updated
02/08/2022
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