Individual
JOHANIE BAYARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10 PARSONAGE RD, EDISON, NJ 08837-2429
(732) 204-1635
Mailing address
305 REEVES AVE, HAMILTON, NJ 08610-3025
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
10/13/2018
Last updated
10/13/2018
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