Individual
TIFFANY HENAWI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
28 GRUNAUER AVE, SADDLE BROOK, NJ 07663-4854
(201) 421-0180
Mailing address
760 POST PL, SECAUCUS, NJ 07094-3241
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-23-64605
NJ
Other
Enumeration date
04/18/2023
Last updated
04/18/2023
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