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Individual

CASIANNE GUASTELLA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
95 FARLEY AVE, FANWOOD, NJ 07023-1004
(732) 685-2456
Mailing address
2739 WOODBRIDGE AVE, EDISON, NJ 08817-4868
(732) 685-2456

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
R6129 11400 61855
NJ
106S00000X
Behavior Technician

Other

Enumeration date
12/30/2015
Last updated
08/14/2021
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