Individual
CORRIE REDFEARN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
303 FELLOWSHIP RD, SUITE 203, MOUNT LAUREL, NJ 08054-1212
(856) 780-1090
Mailing address
27 LANCASTER DR, WESTAMPTON, NJ 08060-2452
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-14-16073
NJ
Other
Enumeration date
01/16/2015
Last updated
09/05/2023
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