Individual
MS. DONNA MARIE SIMON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW, BCBA
Contact information
Practice address
2510 BELMAR BLVD UNIT 19 2ND FL, WALL TOWNSHIP, NJ 07719
(631) 213-5102
Mailing address
915 BENNETTS MILLS RD UNIT 705, JACKSON, NJ 08527-8008
(631) 213-5102
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-16-23168
—
1041C0700X
Clinical Social Worker
44SC06107100
NJ
Other
Enumeration date
03/18/2019
Last updated
09/16/2022
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