Individual
HEATHER HANIFIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
125 HALF MILE ROAD, SUITE 200, RED BANK, NJ 07701-6749
(855) 832-6727
Mailing address
5947B GANNET AVE, EWA BEACH, HI 96706-3256
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-22-57625
—
106S00000X
Behavior Technician
BACB388215
HI
Other
Enumeration date
12/26/2017
Last updated
10/16/2025
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