Provider Demographics
NPI:1770869919
Name:DINOVI, BRETT JOHN (BCBA)
Entity type:Individual
Prefix:
First Name:BRETT
Middle Name:JOHN
Last Name:DINOVI
Suffix:
Gender:M
Credentials:BCBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 8223
Mailing Address - Street 2:
Mailing Address - City:CHERRY HILL
Mailing Address - State:NJ
Mailing Address - Zip Code:08002-0223
Mailing Address - Country:US
Mailing Address - Phone:856-305-1433
Mailing Address - Fax:888-212-0084
Practice Address - Street 1:1771 SPRINGDALE RD
Practice Address - Street 2:
Practice Address - City:CHERRY HILL
Practice Address - State:NJ
Practice Address - Zip Code:08003-2136
Practice Address - Country:US
Practice Address - Phone:856-305-1433
Practice Address - Fax:888-212-0084
Is Sole Proprietor?:No
Enumeration Date:2011-11-02
Last Update Date:2021-08-28
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst