Provider Demographics
NPI:1043796709
Name:SVEC, KERRI A (LDTC, BCBA)
Entity Type:Individual
Prefix:
First Name:KERRI
Middle Name:A
Last Name:SVEC
Suffix:
Gender:F
Credentials:LDTC, BCBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15 LAUREL DR
Mailing Address - Street 2:
Mailing Address - City:HILLSBOROUGH
Mailing Address - State:NJ
Mailing Address - Zip Code:08844-4506
Mailing Address - Country:US
Mailing Address - Phone:609-902-1377
Mailing Address - Fax:
Practice Address - Street 1:15 LAUREL DR
Practice Address - Street 2:
Practice Address - City:HILLSBOROUGH
Practice Address - State:NJ
Practice Address - Zip Code:08844-4506
Practice Address - Country:US
Practice Address - Phone:609-902-1377
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-07-16
Last Update Date:2018-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ1-14-15323103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst