Individual
ABOSEDE FATERU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
158 QUIET RD, SICKLERVILLE, NJ 08081-5621
(267) 978-0418
Mailing address
158 QUIET RD, SICKLERVILLE, NJ 08081-5621
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
BH005153
PA
Other
Enumeration date
04/17/2026
Last updated
04/17/2026
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