Individual
MARY KATHLEEN SHORT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10 LAFAYETTE AVE APT 341, MORRISTOWN, NJ 07960-8250
(407) 913-2022
Mailing address
10 LAFAYETTE AVE APT 341, MORRISTOWN, NJ 07960-8250
(407) 913-2022
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-21-56387
NJ
Other
Enumeration date
01/17/2023
Last updated
01/17/2023
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