Individual
MRS. TATIANA PAMPONET MULLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4 KENTWOOD BLVD, BRICK, NJ 08724-3108
(848) 220-6724
Mailing address
4 KENTWOOD BLVD, BRICK, NJ 08724-3108
(848) 220-6724
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
—
—
Other
Enumeration date
06/23/2022
Last updated
06/23/2022
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