Individual
TALIA DANESHA STEPHENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
1501 S NEW RD, PLEASANTVILLE, NJ 08232-3765
(609) 380-1122
(096) 374-9166
Mailing address
125 DELAWARE AVE, EGG HARBOR TOWNSHIP, NJ 08234-5796
(609) 402-2720
(609) 788-3617
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-18-30938
—
Other
Enumeration date
04/15/2014
Last updated
05/08/2020
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