Individual
AMBER M MULLENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
118 TALMADGE RD, EDISON, NJ 08817-2812
(908) 368-0028
Mailing address
100 CEDAR AVE, SOUTH PLAINFIELD, NJ 07080-4607
(908) 566-5687
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-22-59087
NJ
Other
Enumeration date
10/04/2023
Last updated
10/04/2023
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