Individual
MRS. DANIELLE K TOBIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
330 SOUTH AVE, FANWOOD, NJ 07023-1325
(908) 654-2482
Mailing address
330 SOUTH AVE, FANWOOD, NJ 07023-1325
(908) 654-2470
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
452811950
—
NJ
Enumeration date
02/12/2020
Last updated
02/12/2020
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