Lynn Cheryl Dziadzio, BCBA

Individual provider Active NPI Behavior Analyst · Stirling, NJ

NPI 1639645104 · NPPES record last updated Oct 22, 2018

Key facts

NPI
1639645104
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Analyst 103K00000X
License
1-18-29231 (NJ)
Practice address
1071 Valley Rd
Stirling, NJ 07980-1523
Phone
(908) 604-4500
NPI assigned
Oct 22, 2018
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X 1-18-29231 NJ Yes

Addresses

Primary practice location

1071 Valley Rd
Stirling, NJ 07980-1523

Mailing address

6 Geiger LN
Warren, NJ 07059-5620
Phone (732) 356-8610

Other providers in Stirling, NJ

All providers in Stirling, NJ · Behavior Analyst in New Jersey

Sources for this page

Verify at the official NPI Registry.