Individual
LYNN CHERYL DZIADZIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
1071 VALLEY RD, STIRLING, NJ 07980-1523
(908) 604-4500
Mailing address
6 GEIGER LN, WARREN, NJ 07059-5620
(732) 356-8610
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-18-29231
NJ
Other
Enumeration date
10/22/2018
Last updated
10/22/2018
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