Individual
ALLISON WHITAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
615 LACEY RD, SUITE 3, FORKED RIVER, NJ 08731-2200
(609) 242-3322
(609) 242-3333
Mailing address
615 LACEY RD, SUITE 3, FORKED RIVER, NJ 08731-2200
(609) 242-3322
(609) 242-3333
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-15-20053
NJ
Other
Enumeration date
03/22/2016
Last updated
03/22/2016
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