Individual
MS. MICHELLE PETRONGOLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY.D., BCBA
Contact information
Practice address
123 EGG HARBOR RD STE 302, SEWELL, NJ 08080-9406
(856) 278-6095
(866) 567-5687
Mailing address
123 EGG HARBOR RD STE 302, SEWELL, NJ 08080-9406
(856) 278-6095
(866) 567-5687
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
09/17/2012
Last updated
09/11/2025
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