Individual
BRITTANY VIOLETTE BASCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
321 YALE AVE, STRATFORD, NJ 08084-1247
(888) 859-7749
Mailing address
183 CEDAR RD, MICKLETON, NJ 08056-1014
(219) 742-4087
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-25-80792
NJ
106E00000X
Assistant Behavior Analyst
0-18-9271
NJ
Other
Enumeration date
01/20/2019
Last updated
07/14/2025
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