Individual
KERRIANNE STILLITANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
125 HALF MILE RD STE 200, RED BANK, NJ 07701-6749
(855) 832-6727
(772) 675-9100
Mailing address
7108 S KANNER HWY, STUART, FL 34997-7462
(855) 832-6727
(772) 675-9100
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-21-474450
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1-21-474450
CBBA CERTIFICATION
NJ
Enumeration date
02/12/2021
Last updated
07/27/2021
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