Individual
MR. RAYMOND MCKENNA JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
15 APPLETREE LN APT A, OLD BRIDGE, NJ 08857-2073
(973) 934-9656
Mailing address
15 APPLETREE LN APT A, OLD BRIDGE, NJ 08857-2073
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
07/20/2017
Last updated
07/20/2017
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