Individual
YASMINE BALA KHANNA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3826 PARK AVE, EDISON, NJ 08820-2565
(848) 247-6235
Mailing address
59 GRANT AVE, CARTERET, NJ 07008-2721
(732) 642-9679
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
12/07/2022
Last updated
12/07/2022
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