Individual
MICHELLE BULVID
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
407 GLENN AVE, EGG HARBOR TOWNSHIP, NJ 08234-6109
(201) 315-3314
Mailing address
381 BAY AVE, TUCKERTON, NJ 08087-2555
(201) 315-3314
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
06/21/2021
Last updated
06/21/2021
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