Provider Demographics
NPI:1811470701
Name:BRETT DINOVI ASSOCIATES NORTH
Entity type:Organization
Organization Name:BRETT DINOVI ASSOCIATES NORTH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:BRETT
Authorized Official - Middle Name:
Authorized Official - Last Name:DINOVI
Authorized Official - Suffix:
Authorized Official - Credentials:BCBA
Authorized Official - Phone:609-744-5088
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:609-744-5088
Mailing Address - Fax:
Practice Address - Street 1:75 WATERBORO RD
Practice Address - Street 2:
Practice Address - City:HOLLIS CENTER
Practice Address - State:ME
Practice Address - Zip Code:04042-3258
Practice Address - Country:US
Practice Address - Phone:609-744-5088
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-09-07
Last Update Date:2025-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
103K00000X
NJ14170461103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Multi-Specialty