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Individual

DALLAL BAYAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MA, BCBA

Contact information

Practice address
9 MOUNT PLEASANT TPKE, DENVILLE, NJ 07834-3624
(973) 216-1008
Mailing address
156 WESTERVELT AVE, HAWTHORNE, NJ 07506-3747
(862) 221-5054

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-21-47882
NJ

Other

Enumeration date
06/07/2021
Last updated
06/07/2021
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