Individual
KIMBERLY K PETTIT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
76 W JIMMIE LEEDS RD, GALLOWAY, NJ 08205-9411
(609) 339-9012
Mailing address
407 GLENN AVE, EGG HARBOR TOWNSHIP, NJ 08234-6109
(609) 218-8664
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
1-15-18539
NJ
Other
Enumeration date
03/01/2022
Last updated
03/01/2022
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