Individual
MISS KELLY ELIZABETH DERIGGI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2467 ROUTE 10 BLDG 36-7B, MORRIS PLAINS, NJ 07950-1355
(862) 209-0167
Mailing address
2467 ROUTE 10 BLDG 36-7B, MORRIS PLAINS, NJ 07950-1355
(862) 209-0167
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
799046720
OSCAR
—
Enumeration date
04/04/2021
Last updated
04/04/2021
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