Individual
MRS. ILYANA ROBERTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10 PARSONAGE RD, EDISON, NJ 08837
(732) 204-1635
(732) 204-1636
Mailing address
261 RETTA CT, PISCATAWAY, NJ 08854-6641
(201) 682-1218
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
07/20/2018
Last updated
08/10/2018
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