Individual
EDNA VISION
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
377 VALLEY RD UNIT 3482, CLIFTON, NJ 07013-1319
(917) 574-2279
Mailing address
377 VALLEY RD UNIT 3482, CLIFTON, NJ 07013-1319
(917) 574-2279
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-20-40938
HI
106S00000X
Behavior Technician
—
HI
Other
Enumeration date
10/17/2017
Last updated
05/09/2022
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