Individual
DR. LISA DILLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
EDD. BCBA
Contact information
Practice address
515 LAFAYETTE ST, LONG BRANCH, NJ 07740-5929
(917) 692-6308
Mailing address
515 LAFAYETTE ST, LONG BRANCH, NJ 07740-5929
(917) 692-6308
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-14-16669
NJ
Other
Enumeration date
03/11/2015
Last updated
03/11/2015
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