Individual
KIRSTYNN ELIZABETH BONSALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.ED. BCBA
Contact information
Practice address
101 E GATE DR, CHERRY HILL, NJ 08034-2803
(856) 810-7599
Mailing address
101 E GATE DR, CHERRY HILL, NJ 08034-2803
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-23-65751
NJ
Other
Enumeration date
09/09/2024
Last updated
09/09/2024
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