Individual
PATRICIA FANA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
424 CENTRAL AVE STE 2, WESTFIELD, NJ 07090-2561
(732) 204-1635
Mailing address
220 N 9TH ST, NEWARK, NJ 07107-2065
(973) 413-9688
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
11/07/2023
Last updated
11/07/2023
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