Individual
TATIANA HERR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1050 GALLOPING HILL RD, UNION, NJ 07083-7983
(908) 686-1505
Mailing address
505 MONROE AVE, ELIZABETH, NJ 07201-1508
(908) 422-5281
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
08/08/2020
Last updated
08/08/2020
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