Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 101YS0200X | School Counselor | ||
Y | 103K00000X | Behavior Analyst |
NPI | 1245618875 |
---|---|
Provider Name | Eileen Mary O'neill |
First Address | Livingston, NJ 07039-5810 |
Second Address | Livingston, NJ 07039-5810 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 14/05/2015 |
Last Update Date | 14/05/2015 |