Christopher Dimakos

Individual provider Active NPI Behavior Analyst · Roselle, NJ

NPI 1922564699 · NPPES record last updated Feb 18, 2019

Key facts

NPI
1922564699
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Analyst 103K00000X
Practice address
8 Woodland Dr
Roselle, NJ 07203-2459
Phone
(908) 347-8385
NPI assigned
Feb 18, 2019
Sex
Male
Sole proprietor
Yes

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 Yes

Addresses

Primary practice location

8 Woodland Dr
Roselle, NJ 07203-2459

Mailing address

8 Woodland Dr
Roselle, NJ 07203-2459

Other providers in Roselle, NJ

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

Sources for this page

Verify at the official NPI Registry.