Individual
AVISHA PATEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
30 WILLS WAY, PISCATAWAY, NJ 08854-3770
(732) 646-8774
Mailing address
30 WILLS WAY, PISCATAWAY, NJ 08854-3770
(732) 646-8774
(732) 646-8774
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-20-124589
NJ
Other
Enumeration date
08/27/2020
Last updated
08/27/2020
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