Individual
MIKAELA SCANTLAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BT
Contact information
Practice address
407 GLENN AVE, EGG HARBOR TOWNSHIP, NJ 08234-6109
(609) 218-8664
Mailing address
515 MULLICA HILL RD APT J110, GLASSBORO, NJ 08028-1102
(931) 349-5212
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
08/02/2022
Last updated
10/31/2023
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