Individual
KRISTY DIVITO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9 MOUNT PLEASANT TPKE, DENVILLE, NJ 07834-3624
(973) 216-1008
Mailing address
9 MOUNT PLEASANT TPKE, DENVILLE, NJ 07834-3624
(973) 216-1008
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-18-32638
NJ
Other
Enumeration date
11/04/2021
Last updated
11/04/2021
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