Individual
GIANNA IZZI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2035 LINCOLN HWY STE 1150, EDISON, NJ 08817-3351
(866) 557-8669
Mailing address
21 AVON RD, SPRINGFIELD, NJ 07081-2217
(973) 564-5082
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-21-163151
NJ
Other
Enumeration date
02/07/2022
Last updated
02/07/2022
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