Individual
DINA FATA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA, MA
Contact information
Practice address
400 RARITAN AVE, HIGHLAND PARK, NJ 08904-2740
(732) 380-5222
Mailing address
1071 VALLEY RD, STIRLING, NJ 07980-1523
(908) 604-4500
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
12153601
NJ
103K00000X
Behavior Analyst
Primary
15BC00032100
NJ
Other
Enumeration date
10/06/2021
Last updated
05/11/2026
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