| Provider / Organization | NPI | Date Certified |
|---|---|---|
| KELLY ELIZABETH DERIGGI | 1457930869 | 2021-04-04 |
Kelly Elizabeth Deriggi is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1457930869. Registration indicates Kelly Elizabeth Deriggi is a provider of access to mental health/behavioral health providers services with a specialization in Behavioral Health & Social Service Providers, Behavioral Analyst (Behavioral Health & Social Service Providers, Behavioral Analyst) (Behavioral Analyst, ) (Behavioral Health/Substance Abuse/Psychiatry, ) (Behavioral Analyst, Behavioral Health & Social Service Providers)
| Entity Type | Individual |
| Provider Name | Miss Kelly Elizabeth Deriggi |
| Practice Office Address | 2467 ROUTE 10 BLDG 36-7B MORRIS PLAINS, NJ US |
| Practice Office Telephone | 8622090167 |
| Mailing Address | 2467 ROUTE 10 BLDG 36-7B MORRIS PLAINS, NJ 079501355 US |
| Business Telephone | 8622090167 |
| SOAP URL [] | [email protected] | Direct |
| Code | Practice | License No State |
|---|---|---|
| 103K00000X PRIMARY | Access to Mental Health/Behavioral Health Providers Behavioral Health & Social Service Providers Behavioral Analyst Behavioral Health & Social Service Providers Behavioral Analyst Behavioral Analyst Behavioral Health/Substance Abuse/Psychiatry Behavioral Analyst Behavioral Health & Social Service Providers |
| 799046720 | OTHER | OSCAR |