Individual
KIMBERLY CERILLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
35 BEAVERSON BLVD STE 11, BRICK, NJ 08723-7869
(888) 557-8669
Mailing address
3025 ROUTE 35 S, LAVALLETTE, NJ 08735-1635
(551) 265-9988
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
06/27/2022
Last updated
06/27/2022
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