Individual
ALEX KPAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
55 OAK LN, TRENTON, NJ 08618-4001
(609) 498-2123
Mailing address
55 OAK LN, TRENTON, NJ 08618-4001
(609) 498-2123
(609) 498-2123
Taxonomy
Speciality
Code
Description
License number
State
103TA0700X
Adult Development & Aging Psychologist
—
NJ
106S00000X
Behavior Technician
Primary
—
NJ
Other
Enumeration date
07/24/2025
Last updated
07/24/2025
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