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Individual

MALCOLM HUDSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
1050 CONNECTICUT AVE NW STE 500, WASHINGTON, DC 20036-5304
(866) 872-7602
Mailing address
850 TOWBIN AVE, LAKEWOOD, NJ 08701-5928
(833) 599-2560

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
RBT-21-193015
RBT CERTIFICATION
Enumeration date
10/28/2020
Last updated
11/22/2021
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