Individual
ASHLEY CARLUCCI I
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
F2 COTTAGE CT, CLIFTON, NJ 07012-2144
(973) 462-8023
Mailing address
F2 COTTAGE COURT, CLIFTON, NJ 07012
(973) 462-8023
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
C0629 06379 52902
NJ
253Z00000X
In Home Supportive Care Agency
C0629 06379 52902
NJ
Other
Enumeration date
12/16/2016
Last updated
12/16/2016
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