Individual
MAUREEN ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
204 WILSON AVE, PORT MONMOUTH, NJ 07758-1228
(848) 757-2123
Mailing address
204 WILSON AVE, PORT MONMOUTH, NJ 07758-1228
(848) 757-2123
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-23-285641
—
Other
Enumeration date
09/20/2023
Last updated
04/21/2024
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