Individual
NIRMALA B PATEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
55 LANGHOLM CT, EDISON, NJ 08817-1958
(848) 247-9054
Mailing address
55 LANGHOLM CT, EDISON, NJ 08817-1958
(848) 247-9054
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
NJ
106S00000X
Behavior Technician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
121212
MATCH
NJ
Enumeration date
04/23/2021
Last updated
04/23/2021
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