Individual
DANIELLE CHRYSSIKOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A.T., BCBA, B.A.
Contact information
Practice address
301 AMBOY RD, MATAWAN, NJ 07747-6818
(732) 675-2334
Mailing address
301 AMBOY RD, MATAWAN, NJ 07747-6818
(732) 675-2334
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-06-3050
NJ
Other
Enumeration date
06/21/2016
Last updated
06/21/2016
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