Individual
RAVEN ADKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
316 W WESTFIELD AVE, ROSELLE PARK, NJ 07204-1841
(908) 987-7108
Mailing address
20 PEMBROOK AVE, NORTH BRUNSWICK, NJ 08902-4292
(732) 762-7133
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-21-54425
NJ
Other
Enumeration date
10/25/2021
Last updated
10/25/2021
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