Individual provider · NPI-1
Anneka Ricketts, BCBA
Behavior Analyst · Lawrenceville, NJ
NPI number1053924043
StatusActive
Last updated in NPPESAug 28, 2020
Details
- NPI
- 1053924043
- Entity type
- Individual (NPI-1)
- Name
- Anneka Ricketts
- Credential
- BCBA
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Aug 28, 2020
- Certification date
- Aug 27, 2020
- Last updated
- Aug 28, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103K00000X | Behavior Analyst | – | NJ | Yes |
Practice location
2500 Brunswick Pike Ste 200Lawrenceville, NJ 08648-4134
Phone 609-575-8758
Mailing address
3 Plymouth StPennington, NJ 08534-5213
Phone 609-575-8758
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