Individual
MRS. HEATHER MARIE PANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.ED., BCBA
Contact information
Practice address
175 SMULL AVE, WEST CALDWELL, NJ 07006-7848
(908) 305-7041
Mailing address
175 SMULL AVENUE, WEST CALDWELL, NJ 07006
(908) 305-7041
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
06/10/2010
Last updated
06/10/2010
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