Individual
ANGELA BONAVITA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, BCBA
Contact information
Practice address
125 HALF MILE RD, RED BANK, NJ 07701-6749
(855) 832-6727
Mailing address
125 HALF MILE RD STE 200, RED BANK, NJ 07701-6749
(855) 832-6727
(772) 675-9100
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
3356-MH-B1
MA
Other
Enumeration date
02/03/2021
Last updated
12/03/2021
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