Individual
MRS. MARY C PETROVICI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., BCBA
Contact information
Practice address
825 GEORGES RD, 2ND FLOOR, NORTH BRUNSWICK, NJ 08902-3357
(732) 227-4050
Mailing address
608 W RIDGE MEWS, WOOD RIDGE, NJ 07075-1352
(201) 981-4770
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
1-16-23831
NJ
Other
Enumeration date
12/01/2016
Last updated
12/01/2016
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