Healthcare Provider Details

I. General information

NPI: 1871008029
Provider Name (Legal Business Name): RENEE K D HURFF BCBA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/11/2017
Last Update Date: 03/18/2022
Certification Date: 03/18/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1900 MOUNT HOLLY RD
BURLINGTON NJ
08016-4722
US

IV. Provider business mailing address

1900 MOUNT HOLLY RD
BURLINGTON NJ
08016-4722
US

V. Phone/Fax

Practice location:
  • Phone: 609-614-7495
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number1-17-26731
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: