Provider Demographics
NPI:1487049912
Name:ALVAREZ, HEATHER CAMERON (BCBA)
Entity type:Individual
Prefix:
First Name:HEATHER
Middle Name:CAMERON
Last Name:ALVAREZ
Suffix:
Gender:F
Credentials:BCBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5 HARDING DR
Mailing Address - Street 2:
Mailing Address - City:BERKELEY HEIGHTS
Mailing Address - State:NJ
Mailing Address - Zip Code:07922-2049
Mailing Address - Country:US
Mailing Address - Phone:973-919-0329
Mailing Address - Fax:
Practice Address - Street 1:5 HARDING DR
Practice Address - Street 2:
Practice Address - City:BERKELEY HEIGHTS
Practice Address - State:NJ
Practice Address - Zip Code:07922-2049
Practice Address - Country:US
Practice Address - Phone:973-919-0329
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-04-01
Last Update Date:2015-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ1149433103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst