Most Relevant Information
Provider Data
| NPI Number: | 1003355082 |
| Provider Name: | FABIOLA DUVERGER |
| Entity Type: | Individual |
| Taxonomy Code: | 103K00000X |
| Specialty: | Behavior Analyst |
| License Number: |
Most Important Dates
| Enumeration Date: | 02/23/2017 |
| Last Updated: | 02/26/2019 |
Provider Practice Location
945 RIVER AVE STE 201
LAKEWOOD
NJ
087015675
Practice Location Phone/Fax
| Phone: | 7328333723 |
| Fax: |
Provider Mailing Location
945 RIVER AVE STE 201
LAKEWOOD
NJ
087015675
Provider Mailing Phone/Fax
| Phone: | 7328333723 |
| Fax: |