Individual
MS. ANNA E RICHARDELLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS BCBA
Contact information
Practice address
3 WOODSIDE AVE, JACKSON, NJ 08527-2757
(732) 770-7827
Mailing address
3 WOODSIDE AVE, JACKSON, NJ 08527-2757
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-19-34777
NJ
Other
Enumeration date
06/26/2019
Last updated
08/19/2021
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