Individual
STEPHANIE PATRICIA RESTIVO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4 MILL RUN CT, MEDFORD, NJ 08055-2436
(609) 593-5793
(609) 654-6794
Mailing address
73 PRIMROSE LN, BROWNS MILLS, NJ 08015-4415
(609) 930-4458
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
02/19/2024
Last updated
02/19/2024
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