Individual
ANTHONY PORRECA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
BCBA
Contact information
Practice address
825 GEORGES RD STE 2, NORTH BRUNSWICK, NJ 08902-3357
(732) 227-4050
Mailing address
360 COLUMBIA AVE, CLIFFSIDE PARK, NJ 07010-1904
(201) 638-9974
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-16-22194
NJ
Other
Enumeration date
11/29/2017
Last updated
11/29/2017
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