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Individual

NADEIGE THEOPHILE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.A., RBT

Contact information

Practice address
801 BIRCHFIELD DR, MOUNT LAUREL, NJ 08054-4015
(484) 681-2170
Mailing address
801 BIRCHFIELD DR, MOUNT LAUREL, NJ 08054-4015
(484) 681-2170

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-18-49986
NJ

Other

Enumeration date
03/27/2018
Last updated
03/27/2018
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