Individual
ANDINASE GIANNA RUBERTONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, BCBA
Contact information
Practice address
1851 OLD CUTHBERT RD, CHERRY HILL, NJ 08034-1415
(484) 681-2170
Mailing address
58 E MEADOWBROOK CIR, SICKLERVILLE, NJ 08081-1668
(609) 670-0212
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
12041524
NJ
Other
Enumeration date
11/18/2020
Last updated
07/01/2021
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