Individual
KRYSTI BRANDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
47 WILSON AVE, MANALAPAN, NJ 07726-1546
(732) 331-9845
Mailing address
16 CONCORD DR, MANALAPAN, NJ 07726-3516
(732) 331-9845
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110026265E
—
MA
Enumeration date
08/26/2014
Last updated
01/02/2019
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