Individual
LYNDA INGRAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
395 NJ-70, LAKEWOOD, NJ 08701
(732) 639-5408
Mailing address
1605 FULTON ST APT A516, BROOKLYN, NY 11213-1146
(718) 865-7606
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
02/20/2024
Last updated
02/20/2024
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