Individual
FABIANA DECORATO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
230 BRAEN AVE STE D, WYCKOFF, NJ 07481-2948
(973) 423-2254
Mailing address
304 MILLER AVE # 2, ELMWOOD PARK, NJ 07407-2729
(201) 774-1235
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-18-31568
NJ
Other
Enumeration date
02/26/2019
Last updated
08/21/2020
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