Individual
BRIELLE AVA SPANGENBERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A, BCBA
Contact information
Practice address
777 PARAMUS RD, PARAMUS, NJ 07652-1710
(201) 612-7800
Mailing address
777 PARAMUS RD, PARAMUS, NJ 07652-1710
(201) 612-7800
(201) 670-1988
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-17-29056
NJ
Other
Enumeration date
02/05/2018
Last updated
10/02/2019
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