SearchNew Jersey101YM0800X

Corissa Gidula, MA, BCBA

NPI 1821455692 · on the registry since 2016 · sole proprietor

Practice

Address
848 Buccaneer Ln
Manahawkin, NJ 08050
Phone
(484) 258-6050

Registry record

Primary taxonomy
101YM0800X
101YM0800X
Also registered as
103K00000X
Licence states on file
NJ, GA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2023-02-28

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New Jersey