Individual
REBECCA GARDNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7 NEW BRUNSWICK AVE, MATAWAN, NJ 07747-3337
(732) 742-4660
Mailing address
7 NEW BRUNSWICK AVE, MATAWAN, NJ 07747-3337
(732) 742-4660
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
—
—
106S00000X
Behavior Technician
Primary
—
NJ
Other
Enumeration date
06/23/2022
Last updated
06/23/2022
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