Individual
MRS. AVIGAIL KEMMOUN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
222 DOWN HILL RUN, TOMS RIVER, NJ 08755-1021
(216) 970-4257
Mailing address
222 DOWN HILL RUN, TOMS RIVER, NJ 08755-1021
(216) 970-4257
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-16-24727
NJ
Other
Enumeration date
12/19/2016
Last updated
01/13/2021
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