Individual
VICKY SILLMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSED BCBA
Contact information
Practice address
6600 KENNEDY BLVD E, APT 6F, WEST NEW YORK, NJ 07093-4232
(917) 359-7332
Mailing address
6600 JFK BLVD EAST, APT 6F, WEST NEW YORK, NJ 07093
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-12-11410
NJ
Other
Enumeration date
11/15/2012
Last updated
11/15/2012
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