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Individual

SVETLANA KONONENKO IYER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MSED, BCBA

Contact information

Practice address
51 GLEN RD, MOUNTAIN LAKES, NJ 07046-1152
(973) 765-4774
Mailing address
33 WINTERSET DR, MORRIS PLAINS, NJ 07950-1153
(973) 765-4774

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-11-8448
103K00000X
Behavior Analyst

Other

Enumeration date
04/17/2018
Last updated
04/17/2018
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