Individual
ANUM TANVIR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
114 CRICKET LN, WOODBRIDGE, NJ 07095-1505
(347) 824-0937
Mailing address
114 CRICKET LN, WOODBRIDGE, NJ 07095-1505
(347) 824-0937
Taxonomy
Speciality
Code
Description
License number
State
103TM1800X
Intellectual & Developmental Disabilities Psychologist
—
—
106E00000X
Assistant Behavior Analyst
Primary
—
—
Other
Enumeration date
12/28/2022
Last updated
08/07/2024
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