Individual
BRYTON DEGROOT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
10 PARSONAGE RD STE 318, EDISON, NJ 08837-2429
(732) 204-1635
(732) 204-1636
Mailing address
27 SHELLEY TER, WEST ORANGE, NJ 07052-1832
(973) 243-9887
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
10/12/2018
Last updated
10/12/2018
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