Individual
ALYSSA TAYLOR COUGHLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
329 AYCRIGG AVE, PASSAIC, NJ 07055-3713
(973) 471-3046
Mailing address
325 BIRCH PKWY, WYCKOFF, NJ 07481-2830
(914) 714-9558
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-21-53548
NJ
Other
Enumeration date
12/06/2022
Last updated
12/06/2022
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