Individual
ANGELA TEVNAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
460 CLARK PL, UNION, NJ 07083-7416
(973) 568-8160
Mailing address
460 CLARK PL, UNION, NJ 07083-7416
(973) 568-8160
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
10/06/2020
Last updated
10/06/2020
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