Individual
AMAURIE B CARRASCOZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
106 APPLE ST STE 221, TINTON FALLS, NJ 07724-2670
(857) 829-4040
Mailing address
106 APPLE ST STE 221, TINTON FALLS, NJ 07724-2670
(857) 829-4040
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-22-206293
RI
Other
Enumeration date
08/30/2022
Last updated
02/01/2023
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