Individual
DILENY M TAVAREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
219 NEW BRUNSWICK AVE APT 8, PERTH AMBOY, NJ 08861-4122
(848) 242-6903
Mailing address
219 NEW BRUNSWICK AVE APT 8, PERTH AMBOY, NJ 08861-4122
(848) 242-6903
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
01/18/2025
Last updated
01/18/2025
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