Individual
KELSEY DECKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.ED., BCBA
Contact information
Practice address
1 LUPTON AVE, WOODBURY, NJ 08096-5901
(856) 332-4698
Mailing address
1 LUPTON AVE, WOODBURY, NJ 08096-5901
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-19-35290
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0397539
—
NJ
Enumeration date
03/27/2020
Last updated
03/27/2020
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