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Individual

AVA BOXER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
BCBA

Contact information

Practice address
300 BROADACRES DR STE 175, BLOOMFIELD, NJ 07003-3165
(201) 720-8600
Mailing address
4 SEAMAN ST APT 2, MADISON, NJ 07940-2234

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-25-86244
NJ
103K00000X
Behavior Analyst
Primary
15BC00358400
NJ

Other

Enumeration date
02/07/2026
Last updated
05/01/2026
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