Individual
DANA VALLI RE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
54 BROAD ST, RED BANK, NJ 07701-1943
(732) 784-7501
Mailing address
1001 WHISPERING WAY APT 65, MATAWAN, NJ 07747-1978
(908) 902-8976
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
BACB476691
NJ
Other
Enumeration date
12/01/2020
Last updated
12/01/2020
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