Individual
TABATHA GRACE PIZANIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, BCBA
Contact information
Practice address
8 CALIFORNIA AVE, HAZLET, NJ 07730-2236
(732) 778-0815
Mailing address
8 CALIFORNIA AVE, HAZLET, NJ 07730-2236
(732) 778-0815
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
11829645
NJ
Other
Enumeration date
09/21/2018
Last updated
09/21/2018
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