Individual
TYIS BRITTANY MULLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BA
Contact information
Practice address
214 WASHINGTON AVE, UNION, NJ 07083-8213
(410) 567-6139
Mailing address
214 WASHINGTON AVE, UNION, NJ 07083-8213
(410) 567-6139
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-24-75657
NJ
106E00000X
Assistant Behavior Analyst
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Other
Enumeration date
07/06/2019
Last updated
09/13/2024
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