Provider Demographics
NPI:1912247453
Name:EL-ROY, DAPHNA (PHD, BCBA-D)
Entity type:Individual
Prefix:DR
First Name:DAPHNA
Middle Name:
Last Name:EL-ROY
Suffix:
Gender:F
Credentials:PHD, BCBA-D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:330 SOUTH AVE
Mailing Address - Street 2:CHILDREN'S SPECIALIZED HOSPITAL - ABA DEPT.
Mailing Address - City:FANWOOD
Mailing Address - State:NJ
Mailing Address - Zip Code:07023-1325
Mailing Address - Country:US
Mailing Address - Phone:908-301-2525
Mailing Address - Fax:
Practice Address - Street 1:330 SOUTH AVE
Practice Address - Street 2:CHILDREN'S SPECIALIZED HOSPITAL - ABA DEPT.
Practice Address - City:FANWOOD
Practice Address - State:NJ
Practice Address - Zip Code:07023-1325
Practice Address - Country:US
Practice Address - Phone:908-301-2525
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-02-20
Last Update Date:2013-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst