Kyanna Y Hawkins-Deravin, RBT

NPI #1538625199 in Pemberton, New Jersey

Provider Information

NPI Number: 1538625199
Entity Type: Individual
Name: Kyanna Y Hawkins-Deravin, RBT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Credential: RBT
Enumeration Date: Feb 19, 2019
Last Updated: Mar 21, 2019

Practice Location

Address: 46 ELIZABETH ST
City: Pemberton
State: New Jersey
ZIP Code: 08068-1216
Phone: (609) 316-0195

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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