Individual
LAUREN SIVELLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S.ED, BCBA
Contact information
Practice address
20 GIBSON PL, FREEHOLD, NJ 07728-4838
(856) 346-0005
Mailing address
82 SYMMES RD, MANALAPAN, NJ 07726-3235
(347) 693-5322
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-11-9233
—
Other
Enumeration date
11/21/2011
Last updated
11/18/2021
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