Individual
KELLI KATHERINE MARCHITELLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC, BCBA
Contact information
Practice address
200 ATLANTIC AVE STE G, MANASQUAN, NJ 08736-1352
(732) 600-4341
Mailing address
1608 SHERIDAN DR, WALL TOWNSHIP, NJ 07753-7018
(732) 779-1121
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
37PC00470500
NJ
103K00000X
Behavior Analyst
Primary
1-14-17885
NJ
Other
Enumeration date
09/21/2021
Last updated
04/07/2022
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