Kendra Dickerson
Behavior Analyst · Fanwood, NJ
NPI number
1619349925
Practice location
95 Farley AveFanwood, NJ 07023-1004
- Phone
- (646) 260-3875
NPI record
- NPI
- 1619349925
- Entity type
- Individual (Type 1)
- Enumeration date
- October 26, 2015
- Last updated
- October 26, 2015
- Sole proprietor
- Yes
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Behavior Analyst Primary | 103K00000X |
— | — |
Mailing address
PO Box 185Fanwood, NJ 07023-0185
- Phone
- (646) 260-3875
About Kendra Dickerson
Kendra Dickerson is a healthcare provider registered in the NPI registry with the primary taxonomy Behavior Analyst (code 103K00000X). The practice location is 95 Farley Ave, Fanwood, NJ 07023-1004. The NPI number 1619349925 was assigned on October 26, 2015 and the record was last updated on October 26, 2015.
Frequently asked questions
What is the NPI number of Kendra Dickerson?
The NPI number is 1619349925.
What is the phone number of Kendra Dickerson?
The phone number listed for the practice location is (646) 260-3875.
Where is Kendra Dickerson located?
95 Farley Ave, Fanwood, NJ 07023-1004.
What is the taxonomy code for Kendra Dickerson?
The primary taxonomy code is 103K00000X – Behavior Analyst.
Is this information correct?
All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.
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- Casianne Guastella95 Farley Ave
- Lauren Duek, MA BCBA330 South Ave
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