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Individual

NICOLE CONEBY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LSW, BCBA

Contact information

Practice address
118 KESWICK AVE, EWING, NJ 08638-2836
(609) 417-0010
Mailing address
PO BOX 1143, PRINCETON, NJ 08542-1143
(800) 675-2709
(800) 675-2709

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-09-5611

Other

Enumeration date
11/15/2010
Last updated
11/15/2010
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