Provider Demographics
NPI:1093359747
Name:LUNGO, NORA ANNE (MA, BCBA)
Entity Type:Individual
Prefix:MRS
First Name:NORA
Middle Name:ANNE
Last Name:LUNGO
Suffix:
Gender:F
Credentials:MA, BCBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:140 MAYHILL ST APT 430
Mailing Address - Street 2:
Mailing Address - City:SADDLE BROOK
Mailing Address - State:NJ
Mailing Address - Zip Code:07663-4672
Mailing Address - Country:US
Mailing Address - Phone:973-519-0973
Mailing Address - Fax:
Practice Address - Street 1:140 MAYHILL ST APT 430
Practice Address - Street 2:
Practice Address - City:SADDLE BROOK
Practice Address - State:NJ
Practice Address - Zip Code:07663-4672
Practice Address - Country:US
Practice Address - Phone:973-519-0973
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-11-05
Last Update Date:2019-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst