Individual
ANN PATE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA,,MS,BCBA
Contact information
Practice address
150 NEW PROVIDENCE RD, MOUNTAINSIDE, NJ 07092-2590
(908) 233-3720
Mailing address
150 NEW PROVIDENCE RD, MOUNTAINSIDE, NJ 07092-2590
(908) 233-3720
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1-03-1392
BACB/CERTIFICATICATON
—
Enumeration date
11/29/2010
Last updated
11/29/2010
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