Individual
TAMIKA DEPASS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
53 E HUDSON AVE, ENGLEWOOD, NJ 07631-1816
(973) 652-4078
Mailing address
53 E HUDSON AVE, ENGLEWOOD, NJ 07631-1816
(551) 486-6489
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
06/23/2022
Last updated
06/23/2022
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