Individual
LENORA PANETTA-HAGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
800 BIRCHFIELD DRIVE, SUITE 801, MT LAUREL, NJ 08054
(856) 631-1223
Mailing address
800 BIRCHFIELD DRIVE, SUITE 801, MT LAUREL, NJ 08054
(856) 631-1223
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-16-18355
NJ
Other
Enumeration date
11/19/2019
Last updated
11/19/2019
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