Individual
IRA RINN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.A., BCBA
Contact information
Practice address
395 MOUNTAIN VIEW RD, ENGLEWOOD, NJ 07631-1617
(201) 403-6460
(201) 608-5222
Mailing address
395 MOUNTAIN VIEW RD, ENGLEWOOD, NJ 07631-1617
(201) 403-6460
(201) 608-5222
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-09-6535
NJ
Other
Enumeration date
05/23/2010
Last updated
08/17/2011
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