Individual
KRISTINA IACOVINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
311 WALTON AVE, MOUNT LAUREL, NJ 08054-9579
(844) 234-8387
(856) 429-4755
Mailing address
1255 CALDWELL RD, CHERRY HILL, NJ 08034-3220
(844) 234-8387
(856) 429-4755
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-14-15209
NJ
Other
Enumeration date
05/01/2015
Last updated
01/24/2019
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