Individual
JOANNA REVIELLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BSC
Contact information
Practice address
38 N SCOTT ST, CARBONDALE, PA 18407-1888
(570) 281-6342
Mailing address
1000 AIRPORT RD STE 205, LAKEWOOD, NJ 08701-5960
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
BH002108
—
Other
Enumeration date
03/23/2020
Last updated
03/23/2020
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