Individual
CAROLINE ANN MEDLOCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
30 DOE RUN DR, FRANKLINVILLE, NJ 08322-3713
(856) 694-5212
Mailing address
30 DOE RUN DR, FRANKLINVILLE, NJ 08322-3713
(856) 694-5212
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
11312962
NJ
Other
Enumeration date
07/31/2013
Last updated
07/31/2013
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