Individual
MARIA NITKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1439 SOUTH ST, LAKEWOOD, NJ 08701-5440
(732) 523-2327
Mailing address
136 HARMONY AVE, NORTH MIDDLETOWN, NJ 07748-5128
(609) 994-4672
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
12/31/2020
Last updated
12/31/2020
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