Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103K00000X | Behavior Analyst | 1-10-7412 | NJ |
NPI | 1013361724 |
---|---|
Provider Name | Cristina Battaglia |
First Address | Nutley, NJ 07110-3632 |
Second Address | Nutley, NJ 07110-3632 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/04/2016 |
Last Update Date | 19/04/2016 |