Individual
MRS. NICOLE LEIGH BRODY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S.ED, BCBA
Contact information
Practice address
7 BENSON ST, TINTON FALLS, NJ 07724-9772
(908) 208-7614
Mailing address
901 RIO GRANDE DR, TOMS RIVER, NJ 08755-6440
(732) 779-4284
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-20-45645
NJ
Other
Enumeration date
11/11/2020
Last updated
07/11/2024
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