Individual
VICTORIA L VERGONA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
500 TENAFLY RD, TENAFLY, NJ 07670-1795
(201) 816-4500
Mailing address
500 TENAFLY RD, TENAFLY, NJ 07670-1795
(201) 816-4500
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-20-44241
NJ
Other
Enumeration date
11/09/2022
Last updated
11/09/2022
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