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Individual

TIFANIE ISHUIN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.S.ED., BCBA

Contact information

Practice address
1335 TRISTRAM CIR, MANTUA, NJ 08051-2256
(609) 202-3932
Mailing address
1335 TRISTRAM CIR, MANTUA, NJ 08051-2256
(609) 202-3932

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-09-5332
NJ

Other

Enumeration date
06/25/2015
Last updated
06/25/2015
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