Individual
MRS. KATHERINE MARIE IRWIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M. ED.,BCBA
Contact information
Practice address
4530 ATLANTIC AVE, HAMMONTON, NJ 08037-3783
(609) 892-5500
Mailing address
4530 ATLANTIC AVE, HAMMONTON, NJ 08037-3783
(609) 892-5500
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-16-22102
NJ
Other
Enumeration date
04/06/2016
Last updated
04/06/2016
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