Individual
NICOLE HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
88 ROOSEVELT AVE, #205, CARTERET, NJ 07008-2582
(908) 917-0232
Mailing address
88 ROOSEVELT AVE, #205, CARTERET, NJ 07008-2582
(908) 917-0232
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
01/23/2017
Last updated
01/23/2017
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