Individual
KRISTA CANAVERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A., BCBA
Contact information
Practice address
2 PIN OAK LN, CHERRY HILL, NJ 08003-1632
(856) 669-0211
Mailing address
2 PIN OAK LN STE 250, CHERRY HILL, NJ 08003-1630
(856) 669-0211
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-14-17769
NJ
Other
Enumeration date
10/14/2015
Last updated
10/14/2015
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