Individual
TAYLOR MCNAMARA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
111 CHESTNUT WAY, MANALAPAN, NJ 07726-3839
(732) 298-4349
Mailing address
111 CHESTNUT WAY, MANALAPAN, NJ 07726-3839
(732) 298-4349
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
EXL80482593
BLUE CROSS BLUE SHEILD
—
Enumeration date
03/19/2018
Last updated
03/19/2018
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