Individual
AMANDA M QUINITCHETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
362 E GLEN AVE, RIDGEWOOD, NJ 07450-1816
(973) 393-0539
Mailing address
14 BROOKDALE GDNS, BLOOMFIELD, NJ 07003-6307
(973) 393-0539
(973) 393-0539
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
106S00000X
NJ
Other
Enumeration date
05/19/2023
Last updated
05/19/2023
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