Individual
CHRISTINA PROCTOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
172 CORBIN CT, LAKEWOOD, NJ 08701-7451
(732) 684-5564
Mailing address
172 CORBIN CT, LAKEWOOD, NJ 08701-7451
(732) 684-5564
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-21-47202
NJ
Other
Enumeration date
10/11/2021
Last updated
10/11/2021
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