Individual
AMANDA NICOLE COLLINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
320 S HARRISON ST APT 7E, EAST ORANGE, NJ 07018-1323
(862) 253-3109
Mailing address
320 S HARRISON ST APT 7E, EAST ORANGE, NJ 07018-1323
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
10/04/2018
Last updated
10/04/2018
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