Individual
DANIEL EDWARD LOCKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.A.
Contact information
Practice address
125 HALF MILE RD, RED BANK, NJ 07701-6749
(856) 832-6727
Mailing address
7 MACARTHUR BLVD APT N1504, HADDON TWP, NJ 08108-3618
(856) 275-6251
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-19-35191
NJ
Other
Enumeration date
07/10/2019
Last updated
11/29/2020
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