Diana Dufner, BCBA

Individual provider Active NPI Behavior Analyst · Spotswood, NJ

NPI 1669913265 · NPPES record last updated Mar 31, 2021

Key facts

NPI
1669913265
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Analyst 103K00000X
License
1-15-19410 (NJ)
Practice address
23 Manalapan Rd
Spotswood, NJ 08884-1658
Phone
(908) 217-9726
NPI assigned
Mar 15, 2017
Sex
Female
Sole proprietor
Yes

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD)
No

Practice roles

OrganizationSpecialtyStatusNew patients
Shape to Success Behavioral Solutions Current Accepting new patients
Shape to Success Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X
Behavior Analyst 103K00000X 1-15-19410 NJ Yes

Addresses

Primary practice location

23 Manalapan Rd
Spotswood, NJ 08884-1658

Mailing address

23 Manalapan Rd
Spotswood, NJ 08884-1658
Phone (908) 217-9726

Other practice location 1

15 Corporate Pl S
Piscataway, NJ 08854-6107
Phone (732) 299-3111

Other providers in Spotswood, NJ

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

Sources for this page

Verify at the official NPI Registry.