Individual
ANTONIA DASILVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA, LSW
Contact information
Practice address
100 CRAIG RD STE 102, MANALAPAN, NJ 07726-8731
(866) 557-8669
Mailing address
300 CORPORATE CENTER DR STE 100, MANALAPAN, NJ 07726-8737
(732) 761-0302
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
BACB663849
NJ
Other
Enumeration date
11/13/2023
Last updated
11/13/2023
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