Individual
MRS. ANNA MARIA DESTEFANO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A., BCBA
Contact information
Practice address
1050 GALLOPING HILL RD, UNION, NJ 07083
(908) 686-1505
Mailing address
155 MOUNT HOREB RD, WARREN, NJ 07059-5628
(201) 388-6613
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-07-3727
NJ
Other
Enumeration date
01/14/2009
Last updated
07/25/2018
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