Individual
TANYA N KING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
424 CENTRAL AVE STE 2, WESTFIELD, NJ 07090-2561
(732) 204-1635
Mailing address
189 BROOKSIDE AVE, IRVINGTON, NJ 07111-5319
(508) 488-7566
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
07/06/2024
Last updated
07/06/2024
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