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Individual

MR. MATTHEW RYAN COLLIGAN I

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.A.

Contact information

Practice address
1456 YORK ST, MAHWAH, NJ 07430-3263
(551) 265-1047
Mailing address
1456 YORK ST, MAHWAH, NJ 07430-3263
(551) 265-1047

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary

Other

Enumeration date
10/02/2014
Last updated
10/02/2014
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