Individual
KATHERINE AVILA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
1037 E 22ND ST FL 2, PATERSON, NJ 07513-1614
(862) 238-1375
Mailing address
1037 E 22ND ST FL 2, PATERSON, NJ 07513-1614
(862) 204-8158
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-23-290181
NJ
Other
Enumeration date
01/16/2024
Last updated
01/16/2024
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