Individual
MEGAN KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
43 ELIZABETH ST, PEMBERTON, NJ 08068-1232
(609) 316-0195
(609) 353-1549
Mailing address
PO BOX 253, SKILLMAN, NJ 08558-0253
(609) 316-0195
(609) 353-1549
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-24-397123
NJ
Other
Enumeration date
12/05/2024
Last updated
12/05/2024
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