Individual
MISS NICOLE BETH MARKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
430 RIDGE RD, A-21, LYNDHURST, NJ 07071-2428
(201) 805-8070
Mailing address
430 RIDGE RD, A-21, LYNDHURST, NJ 07071-2428
(201) 805-8070
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-14-17752
NJ
Other
Enumeration date
02/18/2016
Last updated
02/18/2016
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