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Individual

MISS FAITH E GALLETLEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
BCBA

Contact information

Practice address
330 SOUTH AVE, FANWOOD, NJ 07023-1325
(908) 654-2482
Mailing address
84 BRIDGE ST, SEWAREN, NJ 07077-1229
(732) 947-0275

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-21-47551

Other

Enumeration date
03/15/2021
Last updated
03/15/2021
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