Most Relevant Information
Provider Data
| NPI Number: | 1003592544 |
| Provider Name: | KATHLEEN ANN MINERVINI MA, BCBA |
| Entity Type: | Individual |
| Taxonomy Code: | 103K00000X |
| Specialty: | Behavior Analyst |
| License Number: | 1-23-65050 |
Most Important Dates
| Enumeration Date: | 06/27/2023 |
| Last Updated: | 06/27/2023 |
Provider Practice Location
68 DECKER RD
BUTLER
NJ
074051505
Practice Location Phone/Fax
| Phone: | 2018385075 |
| Fax: |
Provider Mailing Location
68 DECKER RD
BUTLER
NJ
074051505
Provider Mailing Phone/Fax
| Phone: | 2018385075 |
| Fax: |