Individual
ADRENA BENNETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
69 BENDER AVE, ISELIN, NJ 08830-1302
(848) 256-3937
Mailing address
69 BENDER AVE, ISELIN, NJ 08830-1302
(848) 256-3937
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
NJ
Other
Enumeration date
03/09/2020
Last updated
03/09/2020
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