Individual
KAITLYN DONOVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
180 PASSAIC AVE, LIVINGSTON, NJ 07039-5814
(973) 390-0459
Mailing address
180 PASSAIC AVE, LIVINGSTON, NJ 07039-5814
(973) 390-0459
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-18-32829
—
Other
Enumeration date
01/17/2019
Last updated
01/17/2019
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