Individual
MRS. EVANGELIA JOSEPHINE CUSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BSW
Contact information
Practice address
300 CORPORATE CENTER DR, MANALAPAN, NJ 07726-8736
(866) 417-8669
(844) 444-0964
Mailing address
20 PIERPONT PLACE, STATEN ISLAND, NY 10314
(347) 733-9393
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-23-293389
NJ
Other
Enumeration date
03/24/2015
Last updated
09/27/2024
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