Provider Demographics
NPI:1467990424
Name:CIRULLI, DEBORAH (MA; CMH, RBT)
Entity Type:Individual
Prefix:MS
First Name:DEBORAH
Middle Name:
Last Name:CIRULLI
Suffix:
Gender:F
Credentials:MA; CMH, RBT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:325 MORRIS ST
Mailing Address - Street 2:
Mailing Address - City:WOODBURY
Mailing Address - State:NJ
Mailing Address - Zip Code:08096-2630
Mailing Address - Country:US
Mailing Address - Phone:856-345-7069
Mailing Address - Fax:
Practice Address - Street 1:325 MORRIS ST
Practice Address - Street 2:
Practice Address - City:WOODBURY
Practice Address - State:NJ
Practice Address - Zip Code:08096-2630
Practice Address - Country:US
Practice Address - Phone:856-345-7069
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-02-09
Last Update Date:2017-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ106S00000X, 373H00000X
171M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes373H00000XNursing Service Related ProvidersDay Training/Habilitation Specialist
No106S00000XBehavioral Health & Social Service ProvidersBehavior Technician
No171M00000XOther Service ProvidersCase Manager/Care Coordinator