Individual
KATHLEEN WOOD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
95 FARLEY AVE, FANWOOD, NJ 07023-1004
(646) 260-3875
Mailing address
620 HAMPTON LN, ISELIN, NJ 08830-2979
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
11/19/2019
Last updated
11/19/2019
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